Bloodstream infection by Acinetobacter radioresistens: the first case report in Brazil

• Autor(a) principal: Lopes,Maria Carolina
• Data de Publicação: 2019
• Outros Autores: Évora,Bruna S., Cidral,Thiago André, Botelho,Larissa B., Melo,Maria Celeste N.
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442019000600669
• topic: Acinetobacter; bacteremia; Alzheimer disease

ABSTRACT This report is the description of the first case in Brazil of community-acquired bloodstream infection caused byAcinetobacter radioresistens. A 73-year-old male patient with Alzheimer’s and Parkinson’s disease was hospitalized and diagnosed with pneumonia at a general hospital. MacConkey agar pure culture was obtained from blood cultures. Conventional tests identified the isolate as Acinetobacter baumannii complex. However, the matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) technique identified it as Acinetobacter radioresistens. The isolate was sensitive to all antibiotics tested by the disk diffusion method, including carbapenem. However, blaoxa-23 gene was detected by the polymerase chain reaction (PCR) assay. Acinetobacter radioresistens can be considered an important agent of opportunistic infections in immunocompromised patients, a potential disseminator of resistance genes.