Table 1.
No. | Age (yr) | Gender | Species | Underlying comorbidity(ies)a | Presence of indwelling CVCb | Type of infection | Treatment and duration | Clinical outcome | Yr of isolation |
---|---|---|---|---|---|---|---|---|---|
1 | 38 | Male | G. otiditis | AML s/p-MUD allogeneic PBSCT | Hickman catheter | Line-associated bacteremia | Vancomycin for 7 days | Resolution of infection | 2013 |
2 | 48 | Male | G. polyisoprenivorans | AML s/p-MUD allogeneic PBSCT | Hickman catheter | Line-associated bacteremia | Vancomycin and cefepime prior to identification, followed by ceftriaxone for 4 weeks | Resolution of infection | 2012 |
3 | 81 | Female | G. terrae | ESRD, HD, DM, PAD | Tunneled dialysis catheter | Bacteremia; possible contaminant | Vancomycin and cefepime for 3 daysc | Resolution of symptoms | 2011 |
4 | 67 | Female | G. bronchialis | DM, autoimmune thyroiditis, concurrent HSV encephalitis | None | Bacteremia | Multiple antibioticsd for a total of 10 days | Resolution of infection | 2010 |
5 | 4 | Female | Gordonia sp., not further identified | ALL with CNS relapse, concurrent Tsukamurella bacteremia | Hickman catheter | Line-associated bacteremia | TMP-SMX for 2 weeks, followed by clarithromycin for 4 weeks | Resolution of infection | 1999 |
Abbreviations: ALL, acute lymphoblastic leukemia; CNS, central nervous system; HSV, herpes simplex virus; DM, diabetes mellitus; ESRD, end-stage renal disease; HD, hemodialysis; PAD, peripheral arterial disease; MUD, matched unrelated donor; PBSCT, peripheral blood stem cell transplant; s/p, status post.
CVC, central venous catheter.
The organism was considered to be a contaminant and not clinically significant.
Vancomycin, cefepime, piperacillin-tazobactam, and cefazolin.