Abstract
An 11-month-old girl with congenital heart disease developed infective endocarditis. Blood cultures revealed an unusual gram-negative rod,Rahnella aquatilis. The patient was successfully treated with a combination of netilmicin and ceftazidime. This is the first case report of infective endocarditis caused by this organism.R. aquatilis should be recognized as a clinical pathogen capable of causing life-threatening infection in children and adults.
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References
Alaballaa SR, Qadri SMH, Al-Furayh O, Al-Qatary K (1992) Urinary tract infection due toRahnella aquatilis in a renal transplant patient.J Clin Microbiol 30:2948–2950
Christiaens E, Hansen W, Moinet J (1987) Isoelement des expectorations d'un patient atteint de leucemie lymphoide chronique et de broncho-emphyséme d'une Enterobacteriaceae nouvellement décrite:Rahnella aquatilis.Med Mal Infect 12:732–734
Farmer JJ III (1984) GenusRahnella Izard, Cavini, Trinel and Leclerc 1981, 382VP. In: Krieg NR, Holt JG (eds)Bergey's Manual of Systematic Bacteriology, vol. 1. Williams & Wilkins, Baltimore, p 513
Farmer JJ III, Davis BR, Hickman-Brenner FW, et al (1985) Biochemical identification of new species and biogroups of Enterobacteriaceae isolated from clinical specimens.J Clin Microbiol 21:46–76
Gavini F, Ferragut C, Lefebvre B, Leclerc H (1976) Etude taxonomique d'entérobactéries appartenant ou apparentées au genreEnterobacter.Ann Microbiol (Paris) 127B:317–335
Goubau P, Aelst FV, Verhaegen J, Boogaerts M (1988) Septicaemia caused byRahnella aquatilis in an immunocompromised patient.Eur J Microbiol Infect Dis 7: 697–699
Hamze M, Mergaert J, Van Vuuren HJJ, et al (1991)Rahnella aquatilis, a potential contaminant in large beer breweries.Int J Food Microbiol. 13:63–68
Harrell LJ, Cameron ML, O'Hara CM (1989)Rahnella aquatilis, an unusual gram-negative rod isolated from the bronchial washing of a patient with acquired immunodeficiency syndrome.J Clin Microbiol 27: 1671–1672
Hoppe JE, Herter M, Aleksic S, Klingebiel T, Niethammer D (1993) Catheter-relatedRahnella aquatilis bacteremia in a pediatric bone marrow transplant recipient.J Clin Microbiol 37:1911–1912
National Committee for Clinical Laboratory Standards (NCCLS) (1990)Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically. Approved Standard M7-A2. National Committee for Clinical Laboratory Standards, Villanova, PA
Schollin J, Bjarke B, Wesström G (1986) Infective endocarditis in Swedish children.Acta Paediatr Scand 75:993–998
Stratton CW, Cooksey RC (1991) Susceptibility tests: special tests In: Balows A, Hausler WJ Jr, Herrmann KL, Isenberg HD, Shadomy HJ, (eds)Manual of Clinical Microbiology, 5th edn. American Society for Microbiology, Washington, DC, pp 1155–1156
Verdonck L, Mergaert J, Rijckaert C, et al (1987) GenusErwinia: numerical analysis of phenotypic features.Int J Syst Bacteriol 37:4–18.
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Matsukura, H., Katayama, K., Kitano, N. et al. Infective endocarditis caused by an unusual gram-negative rod,Rahnella aquatilis . Pediatr Cardiol 17, 108–111 (1996). https://doi.org/10.1007/BF02505093
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DOI: https://doi.org/10.1007/BF02505093