CC BY-NC-ND 4.0 · J Lab Physicians
DOI: 10.1055/s-0043-1774722
Others

Burkholderia vietnamiensis Causing Bacteremia in Patients Suffering from B-Cell Acute Lymphocytic Leukemia: A Case Series and Review of Literature

1   Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
1   Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
1   Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
1   Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
› Author Affiliations
Funding None.

Abstract

Burkholderia cepacia complex consists of 24 species of microorganisms that include B. cepacia, B. multivorans, B. cenocepacia, B. vietnamiensis, B. ambifaria, and many more. It is a ubiquitous microorganism found in the soil and aquatic milieu. The probability of infections in immunocompetent individuals is rare, but an increase in the population of immunocompromised patients in the past decade has attributed to increasing incidence of infections caused by these microorganisms. The most common infections caused by these isolates include bacteremia, pneumonia, genital tract infections, and surgical wound infections. Their potential to cause nosocomial outbreaks in wards of immunocompromised patients is well known. In this case series, we describe three cases of community-acquired Burkholderia vietnamiensis bacteremia in patients suffering from B-cell acute lymphocytic leukemia and their antibiotic sensitivity pattern to guide the treatment of these individuals.

Authors' Contributions

Mitra Kar, Akanksha Dubey, and Sangram Singh Patel helped in protocol development. Akanksha Dubey and Mitra Kar helped in data collection. Chinmoy Sahu and Sangram Singh Patel helped in data analysis and supervision. Mitra Kar and Akanksha Dubey contributed to writing of the manuscript. Mitra Kar, Akanksha Dubey, Chinmoy Sahu, and Sangram Singh Patel reviewed and edited the manuscript. All authors read and approved the final version of the manuscript.




Publication History

Received: 26 December 2022

Accepted: 01 August 2023

Article published online:
03 October 2023

© 2023. The Indian Association of Laboratory Physicians. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Wayne PA. Clinical and Laboratory Standards Institute: Performance standards for antimicrobial susceptibility testing: 32nd Edition. CLSI document M100; 2022
  • 2 Gautam V, Singhal L, Ray P. Burkholderia cepacia complex: beyond pseudomonas and acinetobacter. Indian J Med Microbiol 2011; 29 (01) 4-12
  • 3 Bach E, Sant'Anna FH, Magrich Dos Passos JF. et al. Detection of misidentifications of species from the Burkholderia cepacia complex and description of a new member, the soil bacterium Burkholderia catarinensis sp. nov. Pathog Dis 2017;75(06):
  • 4 Coutinho CP, Dos Santos SC, Madeira A, Mira NP, Moreira AS, Sá-Correia I. Long-term colonization of the cystic fibrosis lung by Burkholderia cepacia complex bacteria: epidemiology, clonal variation, and genome-wide expression alterations. Front Cell Infect Microbiol 2011; 1: 12
  • 5 Reik R, Spilker T, Lipuma JJ. Distribution of Burkholderia cepacia complex species among isolates recovered from persons with or without cystic fibrosis. J Clin Microbiol 2005; 43 (06) 2926-2928
  • 6 Kalish LA, Waltz DA, Dovey M. et al. Impact of Burkholderia dolosa on lung function and survival in cystic fibrosis. Am J Respir Crit Care Med 2006; 173 (04) 421-425
  • 7 Mihaila RG, Blaga L. Burkholderia cepacia septicemia in a patient with acute myeloid leukemia in postchemotherapy bone marrow aplasia. Pak J Med Sci 2013; 29 (05) 1275-1277
  • 8 Singhal T, Shah S, Naik R. Outbreak of Burkholderia cepacia complex bacteremia in a chemotherapy day care unit due to intrinsic contamination of an antiemetic drug. Indian J Med Microbiol 2015; 33 (01) 117-119
  • 9 Ashour HM, El-Sharif A. Species distribution and antimicrobial susceptibility of gram-negative aerobic bacteria in hospitalized cancer patients. J Transl Med 2009; 7: 14
  • 10 Vonberg RP, Gastmeier P. Hospital-acquired infections related to contaminated substances. J Hosp Infect 2007; 65 (01) 15-23
  • 11 Magalhães M, de Britto MC, Vandamme P. Burkholderia cepacia genomovar III and Burkholderia vietnamiensis double infection in a cystic fibrosis child. J Cyst Fibros 2002; 1 (04) 292-294
  • 12 Carvalho GM, Carvalho AP, Folescu TW. et al. Transient isolation of Burkholderia multivorans and Burkholderia cenocepacia from a Brazilian cystic fibrosis patient chronically colonized with Burkholderia vietnamiensis. J Cyst Fibros 2005; 4 (04) 267-270
  • 13 Marquette M, Barker HC, Shafi NS, Johnson CJ, Haworth CS. 319 Nebulised temocillin for prophylaxis against Burkholderia vietnamiensis in an adult with cystic fibrosis. J Cyst Fibros 2015; 14: S140
  • 14 Zhang L, Wan D, Zhang L, Xu S, Xie H, Lin S. Hepatic rupture: a case report of a severe complication of percutaneous catheter drainage. Medicine (Baltimore) 2018; 97 (02) e9499
  • 15 Spoletini G, Etherington C, Shaw N. et al. Use of ceftazidime/avibactam for the treatment of MDR Pseudomonas aeruginosa and Burkholderia cepacia complex infections in cystic fibrosis: a case series. J Antimicrob Chemother 2019; 74 (05) 1425-1429
  • 16 Rohit A, Rani MS, Anand NS. et al. Burkholderia vietnamiensis causing a non-lactational breast abscess in a non-cystic fibrosis patient in Tamil Nadu, India. Indian J Med Microbiol 2020; 38 (3 & 4): 496-499
  • 17 Tavares M, Kozak M, Balola A, Sá-Correia I. Burkholderia cepacia complex bacteria: a feared contamination risk in water-based pharmaceutical products. Clin Microbiol Rev 2020; 33 (03) e00139-e19