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Pseudomonas putida bacteremia in adult patients: five case reports and a review of the literature

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Journal of Infection and Chemotherapy

Abstract

Pseudomonas putida belongs to the fluorescent group of Pseudomonas species, a group of opportunistic pathogens that primarily cause nosocomial infections. However, few cases of P. putida bacteremia in adult patients have been reported. We report five cases of P. putida bacteremia in adult patients and review 23 previously reported cases. Our five patients consisted of three cases of catheter-related bloodstream infection (CRBSI), one case of indwelling biliary drainage tube-related cholangitis, and one case of cholecystitis. Many of the 23 previously reported cases also included CRBSI. Of the clinical backgrounds, in all 28 reported cases including ours, 24 (85.7%) were immunocompromised. Of the clinical management, in CRBSI, devices were removed in almost all cases (92.9%). Antibiotic susceptibility data of our five cases and another previous case showed that patients with bacteremia had a high susceptibility of P. putida to anti-pseudomonal β-lactams. The prognosis for bacteremia with P. putida was good, as 26 (92.9%) of the total 28 cases were cured.

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References

  1. Favero MS, Carson LA, Bond WW, Petersen NJ. Pseudomonas aeruginosa: growth in distilled water from hospitals. Science. 1971;173(999):836–8.

    Article  PubMed  CAS  Google Scholar 

  2. Penna VT, Martins SA, Mazzola PG. Identification of bacteria in drinking and purified water during the monitoring of a typical water purification system. BMC Public Health. 2002;2:13.

    Article  PubMed  Google Scholar 

  3. Roig P, Orti A, Navarro V. Meningitis due to Pseudomonas stutzeri in a patient infected with human immunodeficiency virus. Clin Infect Dis. 1996;22(3):587–8.

    Article  PubMed  CAS  Google Scholar 

  4. Hsueh PR, Teng LJ, Pan HJ, Chen YC, Sun CC, Ho SW, et al. Outbreak of Pseudomonas fluorescens bacteremia among oncology patients. J Clin Microbiol. 1998;36(10):2914–7.

    PubMed  CAS  Google Scholar 

  5. Rastogi S, Sperber SJ. Facial cellulitis and Pseudomonas luteola bacteremia in an otherwise healthy patient. Diagn Microbiol Infect Dis. 1998;32(4):303–5.

    Article  PubMed  CAS  Google Scholar 

  6. Bouallegue O, Mzoughi R, Weill FX, Mahdhaoui N, Ben Salem Y, Sboui H, et al. Outbreak of Pseudomonas putida bacteraemia in a neonatal intensive care unit. J Hosp Infect. 2004;57(1):88–91.

    Article  PubMed  CAS  Google Scholar 

  7. Ladhani S, Bhutta ZA. Neonatal Pseudomonas putida infection presenting as staphylococcal scalded skin syndrome. Eur J Clin Microbiol Infect Dis. 1998;17(9):642–4.

    PubMed  CAS  Google Scholar 

  8. Taylor M, Keane CT, Falkiner FR. Pseudomonas putida in transfused blood. Lancet. 1984;2(8394):107.

    Article  PubMed  CAS  Google Scholar 

  9. Docquier JD, Riccio ML, Mugnaioli C, Luzzaro F, Endimiani A, Toniolo A, et al. IMP-12, a new plasmid-encoded metallo-beta-lactamase from a Pseudomonas putida clinical isolate. Antimicrob Agents Chemother. 2003;47(5):1522–8.

    Article  PubMed  CAS  Google Scholar 

  10. Almuzara M, Radice M, de Garate N, Kossman A, Cuirolo A, Santella G, et al. VIM-2-producing Pseudomonas putida, Buenos Aires. Emerg Infect Dis. 2007;13(4):668–9.

    Article  PubMed  CAS  Google Scholar 

  11. Bogaerts P, Huang TD, Rodriguez-Villalobos H, Bauraing C, Deplano A, Struelens MJ, et al. Nosocomial infections caused by multidrug-resistant Pseudomonas putida isolates producing VIM-2 and VIM-4 metallo-beta-lactamases. J Antimicrob Chemother. 2008;61(3):749–51.

    Article  PubMed  CAS  Google Scholar 

  12. Lee K, Park AJ, Kim MY, Lee HJ, Cho JH, Kang JO, et al. Metallo-beta-lactamase-producing Pseudomonas spp. in Korea: high prevalence of isolates with VIM-2 type and emergence of isolates with IMP-1 type. Yonsei Med J. 2009;50(3):335–9.

    Article  PubMed  CAS  Google Scholar 

  13. Centers for Disease Control (CDC). Reported contamination of heparin sodium with Pseudomonas putida. MMWR Morb Mortal Wkly Rep 1986;35(8):123–4.

    Google Scholar 

  14. Martino R, Martinez C, Pericas R, Salazar R, Sola C, Brunet S, et al. Bacteremia due to glucose non-fermenting gram-negative bacilli in patients with hematological neoplasias and solid tumors. Eur J Clin Microbiol Infect Dis. 1996;15(7):610–5.

    Article  PubMed  CAS  Google Scholar 

  15. Von Graevenitz A, Weinstein J. Pathogenic significance of Pseudomonas fluorescens and Pseudomonas putida. Yale J Biol Med. 1971;44(3):265–73.

    Google Scholar 

  16. Chen CH, Hsiu RH, Liu CE, Young TG. Pseudomonas putida bacteremia due to soft tissue infection contracted in a flooded area of central Taiwan: a case report. J Microbiol Immunol Infect. 2005;38(4):293–5.

    PubMed  Google Scholar 

  17. Spelman DW, Russo P, Harrington G, Davis BB, Rabinov M, Smith JA, et al. Risk factors for surgical wound infection and bacteraemia following coronary artery bypass surgery. Aust N Z J Surg. 2000;70(1):47–51.

    Article  PubMed  CAS  Google Scholar 

  18. Anaissie E, Fainstein V, Miller P, Kassamali H, Pitlik S, Bodey GP, et al. Pseudomonas putida. Newly recognized pathogen in patients with cancer. Am J Med. 1987;82(6):1191–4.

    Article  PubMed  CAS  Google Scholar 

  19. Yang CH, Young T, Peng MY, Weng MC. Clinical spectrum of Pseudomonas putida infection. J Formos Med Assoc. 1996;95(10):754–61.

    PubMed  CAS  Google Scholar 

  20. von Eiff C, Jansen B, Kohnen W, Becker K. Infections associated with medical devices: pathogenesis, management and prophylaxis. Drugs. 2005;65(2):179–214.

    Article  Google Scholar 

  21. Tolker-Nielsen T, Brinch UC, Ragas PC, Andersen JB, Jacobsen CS, Molin S. Development and dynamics of Pseudomonas sp biofilms. J Bacteriol. 2000;182(22):6482–9.

    Article  PubMed  CAS  Google Scholar 

  22. Koh AY, Priebe GP, Pier GB. Virulence of Pseudomonas aeruginosa in a murine model of gastrointestinal colonization and dissemination in neutropenia. Infect Immun. 2005;73(4):2262–72.

    Article  PubMed  CAS  Google Scholar 

  23. Carlson D, McKeen E, Mitchell M, Torres B, Parad R, Comeau AM, et al. Oropharyngeal flora in healthy infants: observations and implications for cystic fibrosis care. Pediatr Pulmonol. 2009;44(5):497–502.

    Article  PubMed  Google Scholar 

  24. Mouton JW, den Hollander JG, Horrevorts AM. Emergence of antibiotic resistance amongst Pseudomonas aeruginosa isolates from patients with cystic fibrosis. J Antimicrob Chemother. 1993;31(6):919–26.

    Article  PubMed  CAS  Google Scholar 

  25. Kang CI, Kim SH, Kim HB, Park SW, Choe YJ, Oh MD, et al. Pseudomonas aeruginosa bacteremia: risk factors for mortality and influence of delayed receipt of effective antimicrobial therapy on clinical outcome. Clin Infect Dis. 2003;37(6):745–51.

    Article  PubMed  Google Scholar 

  26. Osmon S, Ward S, Fraser VJ, Kollef MH. Hospital mortality for patients with bacteremia due to Staphylococcus aureus or Pseudomonas aeruginosa. Chest. 2004;125(2):607–16.

    Article  PubMed  Google Scholar 

  27. Nelson KE, Weinel C, Paulsen IT, Dodson RJ, Hilbert H, Martins dos Santos VA, et al. Complete genome sequence and comparative analysis of the metabolically versatile Pseudomonas putida KT2440. Environ Microbiol. 2002;4(12):799–808.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Takatoshi Kitazawa.

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Yoshino, Y., Kitazawa, T., Kamimura, M. et al. Pseudomonas putida bacteremia in adult patients: five case reports and a review of the literature. J Infect Chemother 17, 278–282 (2011). https://doi.org/10.1007/s10156-010-0114-0

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  • DOI: https://doi.org/10.1007/s10156-010-0114-0

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