Table 1.
Characteristics of three patients with Butyricimonas virosa bacteraemia
Age | Gender | Reason for initial presentation | Clinical presentation | Diagnostic Methods | Susceptibilities | Outcome |
---|---|---|---|---|---|---|
72 | M | Aortic aneurysm surgery in patient with previously diagnosed adenocarcinoma of colon [3] | Fever 24 days after surgery. Anaerobic blood cultures with Gram-negative bacilli. | 16S rRNA gene sequencing | Susceptible: amp, ams, amc, tzp, ipm, mem, cli, mtz | Septic shock and later death due to infection with another organism |
81 | M | Whipple procedure for adenocarcinoma of duodenum [4] | Fever 18 days after Whipple procedure. Anaerobic blood cultures with Gram-negative bacilli. | MALDI-TOF MS | Resistant: kan, van, cst | Recovered without antibiotic therapy |
69 | M | Headache and chills | Headache and chills. Acute complicated diverticulitis. Anaerobic blood culture bottles with Gram-negative bacilli. | MALDI-TOF MS | Resistant: pen, ctx. Susceptible: tzp, mtz | Recovered before initiation of oral antibiotic therapy |
amc, amoxicillin/clavulanate; amp, ampicillin; ams, ampicillin/sulbactam; cli, clindamycin; cst, colistin; ctx, ceftriaxone; ipm, imipenem; kan, kanamycin; MALDI-TOF MS, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry; mem, meropenem; mtz, metronidazole; pen, penicillin; tzp, piperacillin/tazobactam; van, vancomycin.