An unusual presentation of acute gastroenteritis caused by elizabethkingia meningoseptica in a child with sepsis from rural karnataka-a case report

Mamatha Ballal, Rituparna Chakraborty, Suneel Mundkur, Shrikiran Aroor, Abirhami Balakrishnan, Vijianthy Rajalingam

Research output: Contribution to journalArticle

Abstract

Elizabethkingia meningoseptica, a Gram negative obligate aerobic bacilli, though widely distributed in nature (water, soil, salt water ) it does not form a part of normal human flora .Elizabethkingia meningoseptica has been reported to cause meningitis in premature and new born infants. We report a case of acute gastroenteritis caused by this organism in a child with sepsis. A 1 month 23 days old infant was referred to the Paediatric Unit of Kasturba hospital, Manipal presenting with complaints of high grade fever of 10 days duration and loose stools since 8 days .Routine Laboratory examinations were performed. Microbiological investigations were processed by standard techniques. Peripheral smear report showed leukocytosis and platelet count appeared low normal. Using biochemical tests and VITEK 2C (Biomerieux) Identification system , Elizabethkingia meningoseptica was identified as the sole pathogen which was confirmed by its repeated isolation from three consecutive stool samples. Blood and urine cultures were sterile after 24 and 36 hours of incubation respectively. The infant's diarrhoea resolved with treatment. To our knowledge and from literature review ,this is the first case of diarrhoea caused by Elizabethkingia meningoseptica from an infant, being reported from South India-Manipal, Karnataka. The genus Elizabethkingia belongs to the family Flavobacteriaceae of the Class Flavobacteria and order Flavobacteriales. This organism is usually multiresistant to antibiotics typically prescribed for treating gram-negative bacterial infections, but often susceptible to agents generally used for treating gram positive bacterial infections . This bacterium has been associated with cases of neonatal meningitis and septicaemia, and nosocomial pneumonia, endocarditis, and postoperative bacterimia in immunocompromised individuals. The present child with Elizabethkingia meningoseptica infection seems to be the first case to be reported with diarrhoea due to this organism. The patient recovered from diarrhoea after treatment with appropriate antibiotics.

Original languageEnglish
Pages (from-to)114-115
Number of pages2
JournalJournal International Medical Sciences Academy
Volume26
Issue number2
Publication statusPublished - 01-04-2013

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Gastroenteritis
Diarrhea
Sepsis
Meningitis
Gram-Positive Bacterial Infections
Flavobacteriaceae
Gram-Negative Bacterial Infections
Anti-Bacterial Agents
Flavobacterium
Hospital Units
Water
Leukocytosis
Endocarditis
Platelet Count
Bacillus
India
Pneumonia
Fever
Soil
Salts

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "An unusual presentation of acute gastroenteritis caused by elizabethkingia meningoseptica in a child with sepsis from rural karnataka-a case report",
abstract = "Elizabethkingia meningoseptica, a Gram negative obligate aerobic bacilli, though widely distributed in nature (water, soil, salt water ) it does not form a part of normal human flora .Elizabethkingia meningoseptica has been reported to cause meningitis in premature and new born infants. We report a case of acute gastroenteritis caused by this organism in a child with sepsis. A 1 month 23 days old infant was referred to the Paediatric Unit of Kasturba hospital, Manipal presenting with complaints of high grade fever of 10 days duration and loose stools since 8 days .Routine Laboratory examinations were performed. Microbiological investigations were processed by standard techniques. Peripheral smear report showed leukocytosis and platelet count appeared low normal. Using biochemical tests and VITEK 2C (Biomerieux) Identification system , Elizabethkingia meningoseptica was identified as the sole pathogen which was confirmed by its repeated isolation from three consecutive stool samples. Blood and urine cultures were sterile after 24 and 36 hours of incubation respectively. The infant's diarrhoea resolved with treatment. To our knowledge and from literature review ,this is the first case of diarrhoea caused by Elizabethkingia meningoseptica from an infant, being reported from South India-Manipal, Karnataka. The genus Elizabethkingia belongs to the family Flavobacteriaceae of the Class Flavobacteria and order Flavobacteriales. This organism is usually multiresistant to antibiotics typically prescribed for treating gram-negative bacterial infections, but often susceptible to agents generally used for treating gram positive bacterial infections . This bacterium has been associated with cases of neonatal meningitis and septicaemia, and nosocomial pneumonia, endocarditis, and postoperative bacterimia in immunocompromised individuals. The present child with Elizabethkingia meningoseptica infection seems to be the first case to be reported with diarrhoea due to this organism. The patient recovered from diarrhoea after treatment with appropriate antibiotics.",
author = "Mamatha Ballal and Rituparna Chakraborty and Suneel Mundkur and Shrikiran Aroor and Abirhami Balakrishnan and Vijianthy Rajalingam",
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An unusual presentation of acute gastroenteritis caused by elizabethkingia meningoseptica in a child with sepsis from rural karnataka-a case report. / Ballal, Mamatha; Chakraborty, Rituparna; Mundkur, Suneel; Aroor, Shrikiran; Balakrishnan, Abirhami; Rajalingam, Vijianthy.

In: Journal International Medical Sciences Academy, Vol. 26, No. 2, 01.04.2013, p. 114-115.

Research output: Contribution to journalArticle

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AU - Ballal, Mamatha

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N2 - Elizabethkingia meningoseptica, a Gram negative obligate aerobic bacilli, though widely distributed in nature (water, soil, salt water ) it does not form a part of normal human flora .Elizabethkingia meningoseptica has been reported to cause meningitis in premature and new born infants. We report a case of acute gastroenteritis caused by this organism in a child with sepsis. A 1 month 23 days old infant was referred to the Paediatric Unit of Kasturba hospital, Manipal presenting with complaints of high grade fever of 10 days duration and loose stools since 8 days .Routine Laboratory examinations were performed. Microbiological investigations were processed by standard techniques. Peripheral smear report showed leukocytosis and platelet count appeared low normal. Using biochemical tests and VITEK 2C (Biomerieux) Identification system , Elizabethkingia meningoseptica was identified as the sole pathogen which was confirmed by its repeated isolation from three consecutive stool samples. Blood and urine cultures were sterile after 24 and 36 hours of incubation respectively. The infant's diarrhoea resolved with treatment. To our knowledge and from literature review ,this is the first case of diarrhoea caused by Elizabethkingia meningoseptica from an infant, being reported from South India-Manipal, Karnataka. The genus Elizabethkingia belongs to the family Flavobacteriaceae of the Class Flavobacteria and order Flavobacteriales. This organism is usually multiresistant to antibiotics typically prescribed for treating gram-negative bacterial infections, but often susceptible to agents generally used for treating gram positive bacterial infections . This bacterium has been associated with cases of neonatal meningitis and septicaemia, and nosocomial pneumonia, endocarditis, and postoperative bacterimia in immunocompromised individuals. The present child with Elizabethkingia meningoseptica infection seems to be the first case to be reported with diarrhoea due to this organism. The patient recovered from diarrhoea after treatment with appropriate antibiotics.

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