Journal
WORLD JOURNAL OF CLINICAL CASES
Volume 5, Issue 5, Pages 187-190Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.12998/wjcc.v5.i5.187
Keywords
Elizabethkingia miricola; Antibiotics; Urinary tract infections; Matrix-assisted laser desorption ionization time-of-flight; Non-fermenters
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Elizabethkingia miricola (E. miricola) is a gram-negative non-fer-mentative bacterium which is rarely encountered. It is usually misidentified or considered as a contaminant in routine microbiology laboratories due to the limitations in conventional biochemical techniques. However, with the advent of the matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOFMS), the identification of non-fermenters has become easy and this has led to enhanced understanding of the clinical significance of these uncommonly isolated microorganisms. The genus Elizabethkingia has only two species E. meningoseptica and E. miricola. Both of these organisms are known to be multi-drug resistant and therefore, their accurate identification and antimicrobial susceptibility testing are necessary prior to the initiation of appropriate therapy. In the world literature till date, only 3 cases of sepsis caused by E. miricola have been reported. We present the first case of E. miricola association with urinary tract infection.
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