Fatal Case of Chromobacterium violaceum Bacteraemia

Azura Hussin,Nur Hafiza Muharam,Zakuan Zainy Deris

doi:10.3329/bjms.v18i2.40722

Azura Hussin, Nur Hafiza Muharam + Show 1 more

Open Access

https://doi.org/10.3329/bjms.v18i2.40722

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Abstract

Chromobacterium violaceum is rarely associated with human infection in tropical and subtropical regions. We report a fulminant fatal case of bacteremia in a 52-year-old lady, with underlying diabetes mellitus, who was presented with a month history of back swelling associated with fever, lethargy and poor oral intake. C. violaceum was isolated from blood and identify by standard biochemical test.However the patient’s condition deteriorating rapidly and succumbed to death on the day of admission. In these regions, C. violaceum should be one of the differential causes of sepsis, especially if the patient presented with skin lesions and/or multiple organ abscesses with history of exposure to soil or stagnant water. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.434-436

Highlights

Chromobacterium violaceum (C. violaceum) usually found in stagnant water and soil in the tropical and subtropical regions
Human infections caused by this organism are very rare.In general, C. violaceum infection typically starts with a localized skin infection after contact with stagnant water or soil and it can progress to fulminating septicemia, with necrotizing metastatic lesions and multiple abscesses
Human infections caused by this organism are uncommon, it is noteworthy for clinicians to consider it as part of the differential diagnosis of sepsis associated with a history of exposure to stagnant water

Summary

Introduction

Chromobacterium violaceum (C. violaceum) usually found in stagnant water and soil in the tropical and subtropical regions. Human infections caused by this organism are very rare.In general, C. violaceum infection typically starts with a localized skin infection after contact with stagnant water or soil and it can progress to fulminating septicemia, with necrotizing metastatic lesions and multiple abscesses. Human infections caused by this organism are uncommon, it is noteworthy for clinicians to consider it as part of the differential diagnosis of sepsis associated with a history of exposure to stagnant water.

Results

Conclusion