Table 1.
No. | Location | Age | Sex | Underlining Disease | Clinical Presentation | Culture- Positive Specimens | Elizabethkingia Speices | Method for Identification | References |
---|---|---|---|---|---|---|---|---|---|
1 | Taichung, Taiwan | 69 | M | Autoimmune protein losing enteropathy, with ascites, pleural effusion | Fever, abdominal distention, Spontaneous bacterial peritonitis | Blood and ascites | E. anophelis | Whole genome sequencing | NA |
2 | Wisconsin, USA | 84 | M | Chronic HCV infection, cirrhosis, Type 2 DM, alcohol abuse | Abdominal distention, fever, Suspected spontaneous bacterial peritonitis | blood and ascites | E. anophelis | Verigene system /MALDI-ToF MS | [6] |
3 | Saudi Arabia | 55 | F | Type 2 DM, liver cirrhosis, s/p liver transplantation. with post-transplant anastomotic biliary stricture and bile leakage, s/p PTBD | RUQ abdominal pain, no fever. Intra-abdominal infection with subphrenic fluid accumulation | Bile * | E. meningoseptica | NA | [14] |
4 | Hongkong, China | 52 | M | biliary pancreatitis, recurrent pyogenic cholangitis, cirrhosis with biliary stent | Acute cholangitis | Blood | E. meningoseptica | 16S rRNA gene sequence analysis | [18] |
5 | Hongkong, China | 89 | F | Hypertension, Atrial fibrillation, painless obstructive jaundice on palliative stenting | Biliary tract infection with sepsis | Blood | E. meningoseptica | 16S rRNA gene sequence analysis | [18] |
6 | Tamil Nadu, India | 72 | M | Type 2 DM, hypertension, ESRD under CAPD for 22 months | Abdominal pain, and cloudy CAPD fluid. CAPD peritonitis |
CAPD fluid | E. meningoseptica | Vitek-2 compact | [15] |
7 | Taipei, Taiwan | 54 | F | ESRD under CAPD for eight years | Turbid CAPD fluid, abdominal pain and fever. CAPD peritonitis with Tenckhoff tube infection | CAPD fluid | E. meningoseptica (previously Chryseobacterium meningoseptica) | API and Vitek test system | [16] |
8 | New Delhi, India | 8 | F | ESRD since 18 m/o, under CAPD for six years | CAPD peritonitis | CAPD fluid | Elizabethkingia meningoseptica | Vitek system and Vitek AST-N090 card | [17] |
9 | New Delhi, India | 23 | F | s/p Medical Termination of Pregnancy by suction and evacuation for suspected blighted ovum or missed abortion | Postposture fever and bleeding. Peritonitis, secondary to uterine perforation | blood culture * 2 set | Elizabethkingia meningoseptica | Vitek system and Vitek AST-N090 card | [17] |
Under immunosuppressant with oral tacrolimus 1mg, oral mycophenolate mofetil 500 mg, and oral prednisolone 5 mg; * from PTBD; NA, nonavailable; HCV, Hepatitis C virus; type 2 DM, type 2 diabetes mellitus; PTBD, percutaneous biliary drainage; ESRD, End-stage renal disease; CAPD, Continuous Ambulatory Peritoneal Dialysis.