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A rare case of Ralstonia mannitolilytica infection in an end stage renal patient on maintenance dialysis during municipal water contamination
Author(s):
1. Christopher Thiam Seong Lim: Department of Medicine,Faculty of Medicine and Health Sciences,Universiti Putra, Malaysia.
2. Sut Enn Lee: Department of Medicine,Faculty of Medicine and Health Sciences,Universiti Putra, Malaysia.
Abstract:
Ralstonia mannitolilytica is a gram negative soil bacterium. Ralstonia infection though rare, has become the emerging nosocomial pathogens in hospital settings. Various clinical manifestations had been described as well as the mode of transmission. Despite its low virulence factor, it is able to survive under harsh condition and this may potentially cause significant morbidity and mortality especially in immunocompromised patients. Outbreak of Ralstonia mannitolilytica infections in the hospital are typically associated with contaminated medical supplies or instruments. We described here a case of Ralstonia mannitolilytica infection in a dialysis patient that occurred during the municipal reservoir water contamination crisis. In this report, we will also describe the behaviour of Ralstonia genus and its 4 main species, namely R. pickettii, R. solanacearum, R. insidiosa, and R. mannitolilytica and the choices of antibiotic therapy based on literature review.
Page(s): 1047-1049
DOI: DOI not available
Published: Journal: Pakistan Journal of Medical Sciences, Volume: 33, Issue: 4, Year: 2017
Keywords:
Dialysis , End stage renal failure , Ralstonia mannitolilytica
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