Fatal Infection Caused by Chromobacterium violaceum: A Case Report from a Tertiary Care Hospital in Bangladesh

Sadia Sharmin,S. M. Mostofa Kamal,Protim Sarker,Aflatun Akter Jahan

doi:10.1155/2019/6219295

Abstract

Chromobacterium violaceum is a Gram-negative bacterium, found in tropical and subtropical regions. C. violaceum infection rarely occurs, but once occurs, it is associated with significant mortality due to severe systemic infection. Since the first human case from Malaysia in 1927, >150 cases of C. violaceum infection have been reported worldwide. We have described here a fatal case of C. violaceum infection in a tertiary care hospital in Dhaka, Bangladesh. To the best of our knowledge, this is the first case of C. violaceum infection in Bangladesh.

Highlights

C. violaceum is a Gram-negative, facultatively anaerobic, motile, nonsporing, capsulated coccobacillus
C. violaceum was first identified in 1881, and its pathogenic potential was first described by Wooley in 1905, when it was isolated from a fatal infection in a buffalo [1]. e first case of human infection was reported from Malaysia in 1927 [2]
We have reported here a case of C. violaceum infection in a 40-year-old female who had a fatal outcome. e bacterium was isolated from the swab taken from the patient end of the heat and moisture exchanger (HME) filter, which was placed in between the endotracheal tube and mechanical ventilator

Summary

Introduction

C. violaceum is a Gram-negative, facultatively anaerobic, motile, nonsporing, capsulated coccobacillus. E first case of human infection was reported from Malaysia in 1927 [2]. People get infected by C. violaceum through intake of contaminated water, exposure of wound and traumatic lesions to contaminated soil or water, urinary tract, or medical equipment in the hospital environment [3–6].

Results

Conclusion