Roseomonas gilardii Bacteremia from a Peripherally Inserted Central Catheter in a Patient with Endometrial Cancer

Abstract

Roseomonas gilardii, a Gram-negative, non-motile, non-spore-forming, strictly aerobic, and pink-pigmented coccobacillus, isan uncommon species causing human infection. But, occasionally, it has been reported as a causative organism of opportunisticinfection in some countries. We report a case of bacteremia in a 51-year-old woman with endometrial cancer. She visited ouroutpatient clinic, complaining of cough, headache, and febrile sensation for 3 days after palliative chemotherapy performed 8days earlier. Cultures of the blood and the peripherally inserted central catheter were performed and bacteria were isolatedfrom cultures after 5 day incubation. Microbiological tests such as Gram staining, culture, and identification testing revealedRoseomonas gilardii. The patient was treated with antibiotics for 9 days and discharged. This case of Roseomonas gilardiibacteremia from the peripherally inserted central catheter in a patient with endometrial cancer suggests the importance ofdiagnostic tools for accurate identification of unusual causative organisms of bacteremia in immunocompromised patients.