What is it about?
Elizabethkingia miricola (E. miricola ) is a gram-negative non-fermentative bacterium which is rarely encountered. It is usually misidentified or considered as a contaminant in routine microbiology laboratories due to the limitations in conventional biochemical techniques. However, with the advent of the matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOFMS), the identification of non-fermenters has become easy and this has led to enhanced understanding of the clinical significance of these uncommonly isolated microorganisms.
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Why is it important?
In the world literature till date, only 3 cases of sepsis caused by E. miricola have been reported. We present the first case of E. miricola association with urinary tract infection.
Perspectives
Non-fermenters except Pseudomonas and Acinetobacter are less commonly associated with urinary tract infection (UTI). But recently an upsurge in a number of reported cases has been noted due to the use of MALDI-TOF which is an easy and reliable identification technique. Till date in literature, there is no reported case of Elizabethkingia miricola (E. miricola ) causing UTI, although its significance in blood and sputum samples of sepsis patients has been demonstrated earlier. This is the first case report showing a clinical association of E. miricola with symptomatic UTI and also demonstrating the multidrug resistance nature of this organism.
Dr Kamran Zaman
National Institute of Virology, Pune
Read the Original
This page is a summary of: Elizabethkingia miricola: A rare non-fermenter causing urinary tract infection, World Journal of Clinical Cases, January 2017, Baishideng Publishing Group Co., Limited (formerly WJG Press),
DOI: 10.12998/wjcc.v5.i5.187.
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