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Published in: BMC Infectious Diseases 1/2019

Open Access 01-12-2019 | Systemic Lupus Erythematosus | Case report

Roseomonas mucosa infective endocarditis in patient with systemic lupus erythematosus: case report and review of literature

Authors: Shayuan Shao, Xin Guo, Penghao Guo, Yingpeng Cui, Yili Chen

Published in: BMC Infectious Diseases | Issue 1/2019

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Abstract

Background

Roseomonas mucosa, as a Gram-negative coccobacilli, is an opportunistic pathogen that has rarely been reported in human infections. Here we describe a case of bacteremia in an infective endocarditis patient with systemic lupus erythematosus (SLE).

Case presentations

A 44-year-old female patient with SLE suffered bacteremia caused by Roseomonas mucosa complicated with infective endocarditis (IE). The patient started on treatment with piperacillin-tazobactam and levofloxacin against Roseomonas mucosa, which was switched after 4 days to meropenem and amikacin for an additional 2 weeks. She had a favorable outcome with a 6-week course of intravenous antibiotic therapy.

Discussion and conclusions

Roseomonas mucosa is rarely reported in IE patients; therefore, we report the case in order to improve our ability to identify this pathogen and expand the range of known bacterial causes of infective endocarditis.
Literature
1.
go back to reference Romano-Bertrand S, Bourdier A, Aujoulat F, Michon AL, Masnou A, Parer S, Marchandin H, Jumas-Bilak E. Skin microbiota is the main reservoir of Roseomonas mucosa, an emerging opportunistic pathogen so far assumed to be environmental. Clin Microbiol Infect. 2016;22(8):731–7.CrossRef Romano-Bertrand S, Bourdier A, Aujoulat F, Michon AL, Masnou A, Parer S, Marchandin H, Jumas-Bilak E. Skin microbiota is the main reservoir of Roseomonas mucosa, an emerging opportunistic pathogen so far assumed to be environmental. Clin Microbiol Infect. 2016;22(8):731–7.CrossRef
2.
go back to reference Kim YK, Moon JS, Song KE, Lee W. Two cases of bacteremia due to Roseomonas mucosa. Ann Lab Med. 2016;36(4):367.CrossRef Kim YK, Moon JS, Song KE, Lee W. Two cases of bacteremia due to Roseomonas mucosa. Ann Lab Med. 2016;36(4):367.CrossRef
3.
go back to reference Rihs JD, Brenner DJ, Weaver RE, Steigerwalt AG, Hollis DG, Yu VL. Roseomonas, a new genus associated with bacteremia and other human infections. J Clin Microbiol. 1993;31(12):3275–83.PubMedPubMedCentral Rihs JD, Brenner DJ, Weaver RE, Steigerwalt AG, Hollis DG, Yu VL. Roseomonas, a new genus associated with bacteremia and other human infections. J Clin Microbiol. 1993;31(12):3275–83.PubMedPubMedCentral
4.
go back to reference Han XY, Pham AS, Tarrand JJ, Rolston KV, Helsel LO, Levett PN. Bacteriologic characterization of 36 strains of Roseomonas species and proposal of Roseomonas mucosa sp nov and Roseomonas gilardii subsprosea subsp nov. Am J Clin Pathol. 2003;120(2):256–64.CrossRef Han XY, Pham AS, Tarrand JJ, Rolston KV, Helsel LO, Levett PN. Bacteriologic characterization of 36 strains of Roseomonas species and proposal of Roseomonas mucosa sp nov and Roseomonas gilardii subsprosea subsp nov. Am J Clin Pathol. 2003;120(2):256–64.CrossRef
5.
go back to reference Matsukuma Y, Sugawara K, Shimano S, Yamada S, Tsuruya K, Kitazono T, Higashi H. A case of bacterial peritonitis caused by Roseomonas mucosa in a patient undergoing continuous ambulatory peritoneal dialysis. CEN Case Rep. 2014;3(2):127–31.CrossRef Matsukuma Y, Sugawara K, Shimano S, Yamada S, Tsuruya K, Kitazono T, Higashi H. A case of bacterial peritonitis caused by Roseomonas mucosa in a patient undergoing continuous ambulatory peritoneal dialysis. CEN Case Rep. 2014;3(2):127–31.CrossRef
6.
go back to reference Diesendorf N, Köhler S, Geißdörfer W, Grobecker-Karl T, Karl M, Burkovski A. Characterisation of Roseomonas mucosa isolated from the root canal of an infected tooth. BMC Res Notes. 2017;10(1):212.CrossRef Diesendorf N, Köhler S, Geißdörfer W, Grobecker-Karl T, Karl M, Burkovski A. Characterisation of Roseomonas mucosa isolated from the root canal of an infected tooth. BMC Res Notes. 2017;10(1):212.CrossRef
7.
go back to reference Kim K, Hur J, Jo W, Hong J, Cho O, Kang DH, Kim S, Bae I. Infectious spondylitis with bacteremia caused by Roseomonas mucosa in an immunocompetent patient. Infect Chemother. 2015;47(3):194.CrossRef Kim K, Hur J, Jo W, Hong J, Cho O, Kang DH, Kim S, Bae I. Infectious spondylitis with bacteremia caused by Roseomonas mucosa in an immunocompetent patient. Infect Chemother. 2015;47(3):194.CrossRef
8.
go back to reference Boyd MA, Laurens MB, Fiorella PD, Mendley SR. Peritonitis and technique failure caused by Roseomonas mucosa in an adolescent infected with HIV on continuous cycling peritoneal dialysis. J Clin Microbiol. 2012;50(11):3801–4.CrossRef Boyd MA, Laurens MB, Fiorella PD, Mendley SR. Peritonitis and technique failure caused by Roseomonas mucosa in an adolescent infected with HIV on continuous cycling peritoneal dialysis. J Clin Microbiol. 2012;50(11):3801–4.CrossRef
9.
go back to reference Bard JD, Deville JG, Summanen PH, Lewinski MA. Roseomonas mucosa isolated from bloodstream of pediatric patient. J Clin Microbiol. 2010;48(8):3027–9.CrossRef Bard JD, Deville JG, Summanen PH, Lewinski MA. Roseomonas mucosa isolated from bloodstream of pediatric patient. J Clin Microbiol. 2010;48(8):3027–9.CrossRef
10.
go back to reference Holland TL, Baddour LM, Bayer AS, Hoen B, Miro JM, Fowler VG. Infective endocarditis. Nat Rev Dis Primers. 2016;2:16059.CrossRef Holland TL, Baddour LM, Bayer AS, Hoen B, Miro JM, Fowler VG. Infective endocarditis. Nat Rev Dis Primers. 2016;2:16059.CrossRef
11.
go back to reference Libman ESB. A hitherto undescribed form of valvular and mural endocarditis; 1924.CrossRef Libman ESB. A hitherto undescribed form of valvular and mural endocarditis; 1924.CrossRef
12.
go back to reference Afonso L, Kottam A, Reddy V, Penumetcha A. Echocardiography in infective endocarditis: state of the art. Curr Cardiol Rep. 2017;19(12):127.CrossRef Afonso L, Kottam A, Reddy V, Penumetcha A. Echocardiography in infective endocarditis: state of the art. Curr Cardiol Rep. 2017;19(12):127.CrossRef
13.
go back to reference Duval X, Delahaye F, Alla F, Tattevin P, Obadia J, Le Moing V, Doco-Lecompte T, Celard M, Poyart C, Strady C, et al. Temporal trends in infective endocarditis in the context of prophylaxis guideline modifications. J Am Coll Cardiol. 2012;59(22):1968–76.CrossRef Duval X, Delahaye F, Alla F, Tattevin P, Obadia J, Le Moing V, Doco-Lecompte T, Celard M, Poyart C, Strady C, et al. Temporal trends in infective endocarditis in the context of prophylaxis guideline modifications. J Am Coll Cardiol. 2012;59(22):1968–76.CrossRef
14.
go back to reference Morpeth S, Murdoch D, Cabell CH, Karchmer AW, Pappas P, Levine D, Nacinovich F, Tattevin P, Fernandez-Hidalgo N, Dickerman S, et al. Non-HACEK gram-negative bacillus endocarditis. Ann Intern Med. 2007;147(12):829–35.CrossRef Morpeth S, Murdoch D, Cabell CH, Karchmer AW, Pappas P, Levine D, Nacinovich F, Tattevin P, Fernandez-Hidalgo N, Dickerman S, et al. Non-HACEK gram-negative bacillus endocarditis. Ann Intern Med. 2007;147(12):829–35.CrossRef
15.
go back to reference Falcone M, Tiseo G, Durante-Mangoni E, Ravasio V, Barbaro F, Ursi MP, Pasticci MB, Bassetti M, Grossi P, Venditti M, et al. Risk factors and outcomes of endocarditis due to non-HACEK gram-negative bacilli: data from the prospective multicenter Italian endocarditis study cohort. Antimicrob Agents Chemother. 2018;62(4). https://doi.org/10.1128/AAC.02208-17. Falcone M, Tiseo G, Durante-Mangoni E, Ravasio V, Barbaro F, Ursi MP, Pasticci MB, Bassetti M, Grossi P, Venditti M, et al. Risk factors and outcomes of endocarditis due to non-HACEK gram-negative bacilli: data from the prospective multicenter Italian endocarditis study cohort. Antimicrob Agents Chemother. 2018;62(4). https://​doi.​org/​10.​1128/​AAC.​02208-17.
16.
go back to reference Ece G, Ruksen M, Akay A. Case report: cranioplasty infection due to Roseomonas gilardii at a university hospital in Turkey. Pan Afr Med J. 2013;14:162.CrossRef Ece G, Ruksen M, Akay A. Case report: cranioplasty infection due to Roseomonas gilardii at a university hospital in Turkey. Pan Afr Med J. 2013;14:162.CrossRef
17.
go back to reference Michon A, Saumet L, Bourdier A, Haouy S, Sirvent N, Marchandin H. Bacteremia due to imipenem-resistant Roseomonas mucosa in a child with acute lymphoblastic leukemia. J Pediatr Hematol Oncol. 2014;36(3):e165–8.CrossRef Michon A, Saumet L, Bourdier A, Haouy S, Sirvent N, Marchandin H. Bacteremia due to imipenem-resistant Roseomonas mucosa in a child with acute lymphoblastic leukemia. J Pediatr Hematol Oncol. 2014;36(3):e165–8.CrossRef
18.
go back to reference Wang C, Lai C, Tan C, Huang Y, Chung K, Lee M, Hwang K, Hsueh P. Clinical characteristics of infections caused by Roseomonas species and antimicrobial susceptibilities of the isolates. Diagn Microbiol Infect Dis. 2012;72(3):199–203.CrossRef Wang C, Lai C, Tan C, Huang Y, Chung K, Lee M, Hwang K, Hsueh P. Clinical characteristics of infections caused by Roseomonas species and antimicrobial susceptibilities of the isolates. Diagn Microbiol Infect Dis. 2012;72(3):199–203.CrossRef
19.
go back to reference Tsai S, Chen C, Shu K, Wu M. Peritonitis caused by Roseomonas in a patient undergoing automated peritoneal dialysis: case report and literature review. Intern Med. 2012;51(13):1721–4.CrossRef Tsai S, Chen C, Shu K, Wu M. Peritonitis caused by Roseomonas in a patient undergoing automated peritoneal dialysis: case report and literature review. Intern Med. 2012;51(13):1721–4.CrossRef
20.
go back to reference Al-Anazi KA, AlHashmi H, Abdalhamid B, AlSelwi W, AlSayegh M, Alzayed A, Alshibani Z, AlGarni A, Al-Ghanem A, Hassan H, et al. Roseomonas bacteremia in a recipient of an allogeneic hematopoietic stem cell transplantation. Transpl Infect Dis. 2013;15(4):E144–7.CrossRef Al-Anazi KA, AlHashmi H, Abdalhamid B, AlSelwi W, AlSayegh M, Alzayed A, Alshibani Z, AlGarni A, Al-Ghanem A, Hassan H, et al. Roseomonas bacteremia in a recipient of an allogeneic hematopoietic stem cell transplantation. Transpl Infect Dis. 2013;15(4):E144–7.CrossRef
21.
go back to reference Kaore N, Khan Z, Aher A, Ramnani VK. Community acquired Roseomonas infection in a pre-existing tubercular lung lesion. Lung India. 2014;31(3):289.CrossRef Kaore N, Khan Z, Aher A, Ramnani VK. Community acquired Roseomonas infection in a pre-existing tubercular lung lesion. Lung India. 2014;31(3):289.CrossRef
Metadata
Title
Roseomonas mucosa infective endocarditis in patient with systemic lupus erythematosus: case report and review of literature
Authors
Shayuan Shao
Xin Guo
Penghao Guo
Yingpeng Cui
Yili Chen
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2019
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-019-3774-0

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