Wohlfahrtiimonas chitiniclastica Bacteremia Hospitalized Homeless Man with Squamous Cell Carcinoma

Emerg Infect Dis. 2018 Sep;24(9):1746-1748. doi: 10.3201/eid2409.170080.

Abstract

We report a case of Wohlfahrtiimonas chitiniclastica bacteremia in an elderly man in Japan who had squamous cell carcinoma. Blood cultures were initially negative for W. chitiniclastica but were positive on day 20. Careful attention needs to be paid to this organism in patients who have chronic wounds with maggots.

Keywords: 16S; Japan; MALDI-TOF; RNA; Wohlfahrtiimonas chitiniclastica; bacteremia; bacteria; bacterial infections; carcinoma; homeless persons; mass spectrometry; matrix-assisted laser/desorption-ionization time-of-flight; ribosomal; wound infection.

Publication types

  • Case Reports
  • Letter
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Animals
  • Bacteremia / diagnosis*
  • Bacteremia / drug therapy
  • Carcinoma, Squamous Cell*
  • Diagnosis, Differential
  • Gammaproteobacteria / isolation & purification*
  • Gram-Negative Bacterial Infections / diagnosis*
  • Gram-Negative Bacterial Infections / drug therapy
  • Humans
  • Ill-Housed Persons*
  • Japan
  • Larva
  • Male
  • Shoulder
  • Skin Neoplasms*