A case of bacteremia due to Burkholderia cepacia in a patient without cystic fibrosis

Abstract

Burkholderia cepacia is a pathogen usually causing infection to immunocompromised or hospitalized patients. It is also associated with infections in patients with underlying lung disease, such as cystic fibrosis and chronic granulomatous disease. We present a case of B. cepacia bacteremia in a patient with COPD who was hospitalized due to type II respiratory failure. We speculate that B. cepacia , as a chronic colonizer, may cause infections in patients with lung disease other than cystic fibrosis. Previous antibiotic administration may have a role in development of such infections. ► B. cepacia is a pathogen usually causing infection mainly to patients with underlying lung disease, such as cystic fibrosis, or a compromised immune status. ► It is not commonly found in patients with chronic obstructive pulmonary disease. ► B. cepacia , as a chronic colonizer may cause infections in patients with lung disease other than cystic fibrosis, such as COPD. ► Previous administration of broad-spectrum antibiotics may be a factor contributing in the development of such infections.