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CC BY-NC-ND 4.0 · J Lab Physicians 2017; 9(04): 325-328
DOI: 10.4103/JLP.JLP_21_17
Case Report

Chromobacterium violaceuml-induced sepsis and multiorgan dysfunction, resembling melioidosis in an elderly diabetic patient: A case report with review of literature

Sagar Khadanga
Department of Medicine, AIIMS, Bhopal, Madhya Pradesh, India
,
Tadepalli Karuna
Department of Microbiology, AIIMS, Bhopal, Madhya Pradesh, India
,
Dharmendra Dugar
Department of Gastrointestinal Oncosurgery, Tata Medical Center, Kolkata, West Bengal, India
,
Shakti Prasad Satapathy
Department of Radiology, Care Hospital, Bhubaneswar, Odisha, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

An elderly diabetic farmer presented with chronic nonhealing ulcer over the left foot, multiple liver abscesses, and right-sided pleural effusion. The patient developed septicemia and multiorgan failure. The pus grew pigment producing Chromobacterium violaceuml. He was treated successfully with ciprofloxacin for a total duration of 15 days. This case is reported for its rare clinical presentation and resemblance with melioidosis. Of the 200 C. violaceum cases reported across the globe, this is the 14th case from India and the oldest in the literature.

Key words

Chromobacterium violaceuml - foot ulcer - liver abscess - sepsis


Publication History

Received: 01 February 2017

Accepted: 01 March 2017

Article published online:
19 February 2020

© 2017.

Thieme Medical and Scientific Publishers Private Ltd.
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  • References

  • 1 Davis ES. Chromobacterium. In: Braude AI, Davis CE, Fierer J, editors. Infectious diseases and medical microbiology. 2nd ed. Philadelphia: WB Saunders; 1986 p. 358-61.
  • 2 Lee J, Kim JS, Nahm CH, Choi JW, Kim J, Pai SH, et al. Two cases of Chromobacterium violaceuml infection after injury in a subtropical region. J Clin Microbiol 1999;37:2068-70.
  • 3 Karthik R, Pancharatnam P, Balaji V. Fatal Chromobacterium violaceuml septicemia in a South Indian adult. Infect Dev Ctries. 2012;6:751-5.
  • 4 Kaufman SC, Ceraso D, Schugurensky A. First case report from Argentina of fatal septicemia caused by Chromobacterium violaceuml. J of Clin Microbiol 1986;23:956-8.
  • 5 Dutta S, Dutta SK. Multidrug resistant Chromobacterium violaceuml: An unusual bacterium causing long standing wound abscess. Indian J Med Microbiol 2003;21:217-8.
  • 6 Kumar MR. Chromobacterium violaceuml: A rare bacterium isolated from a wound over the scalp. Int J Appl Basic Med Res 2012;2: 70-2.
  • 7 Swain B, Otta S, Sahu KK, Panda K, Rout S. Urinary tract infection by Chromobacterium violaceuml. J Clin Diagn Res 2014;8:DD01-2. doi: 10.7860/jcdr/2014/9230.4703.
  • 8 Shamshul Ansari, PramodPaudel, KishorGautam, Sony Shrestha, SangitaThapa, RajendraGautam. Chromobacteriumviolaceum Isolated from a Wound Sepsis: A Case Study from Nepal. Case Rep Infect Dis 2015;2015:181946.
  • 9 Kaniyarakkal V, Orvankundil S, Lalitha SK, Thazhethekandi R, Thottathil J. Chromobacterium violaceuml Septicaemia and Urinary Tract Infection: Case Reports from a Tertiary Care Hospital in South India. Case Rep Infect Dis 2016;22:2016.
  • 10 Madi DR, Vidyalakshmi K, Ramapuram J, Shetty AK. Successful treatment of Chromobacterium violaceuml sepsis in a South Indian adult. Am J Trop Med Hyg 2015;93:1066-7.
  • 11 Saboo AR, Vijaykumar R, Save SU, Bavdekar SB. A rare nonfatal presentation of disseminated Chromobacterium violaceuml sepsis. J Microbiol Immunol Infec 2015;48:574-7.
  • 12 Vijayan AP, Anand MR, Remesh P. Chromobacterium violaceuml sepsis in an infant. Indian Pediatr 2009;46:721-2.
  • 13 Mahapatra A, Roy D, Poddar N, Panda R, Sarangi G, Mallick B, et al. Chromobacterium violaceuml: A case report of an unusual bacterium causing puerperal sepsis. Indian J Pathol Microbiol. 2006;49:450-2.
  • 14 Shenoy S, Baliga S, Wilson G, Kamath N. Chromobacterium violaceuml septicemia. Indian J Pediatr. 2002;69:363-4.
  • 15 Chattopadhyay A, Kumar V, Bhat N, Rao PL. Chromobacterium violaceuml infection: A rare but frequently fatal disease. J Pediatr Surg 2002;37:108-10.
  • 16 Ray P, Sharma J, Marak RS, Singhi S, Taneja N, Garg RK, et al. Chromobacterium violaceuml septicaemia from north India. Indian J Med Res 2004;120:523-6.
  • 17 Macher AM, Casale TB, Fauci AS. Chronic granulomatous disease of childhood and Chromobacterium violaceuml infections in South eastern United States. Ann Intern Med 1982;97:51-5.
  • 18 Karuna T, Khadanga S, Dugar D. Melioidosis: Indian perspective. Int J Med Res Rev 2014;2:243-248.