Ralstonia pickettii bacteremia in hemodialysis patients: a report of two cases
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چکیده
Ralstonia pickettii is a low-virulence gram-negative bacillus that may be associated with infections related to health care and may cause bacteremia. Ralstonia pickettii bacteremia is uncommon but is related to the contamination of medical products, mainly in immunodepressed patients. We present two cases of patients on chronic hemodialysis with Ralstonia pickettii bacteremia linked to contamination of the dialysis water. Similar cases have been published with links to intravenous fluid administration, medication ampules, and the use of extracorporeal oxygenation membranes, among other factors. The detection of Ralstonia pickettii bacteremia should provoke suspicion and a search for contaminated medical products, fluids, and/or medications.
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Reply to: Ralstonia pickettii bacteremia in hemodialysis patients: a report of two cases
Renal disease patients undergoing chronic hemodialysis are vulnerable to infectious diseases. Both the immunocompromised state of chronic renal disease patients and the presence of endovascular structures and devices such as hemodialysis arteriovenous fistulas and central venous catheters create a favorable environment for infectious complications, mainly bacteremia.(1) This study’s main point ...
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Ralstonia pickettii is a rare pathogen and even more rare in healthy individuals. Here we report a case of R. pickettii bacteremia leading to aortic valve abscess and complete heart block. To our knowledge this is the first case report of Ralstonia species causing infective endocarditis with perivalvular abscess.
متن کاملTo: Ralstonia pickettii bacteremia in hemodialysis patients: a report of two cases
I recently read the interesting report by Tejera et al. about Ralstonia pickettii, a gram-negative germ formerly of the Burkholderia group that infected two patients on hemodialyisis. The first was a 65-year-old man with a chronic kidney disease and native arteriovenous fistula who, and was managed in the intensive care unit (ICU) because of development of a septic shock. The transesophageal ec...
متن کاملRalstonia Pickettii Bacteremia
As mentioned in literature R. pickettii has been reported to cause respiratory tract infections, meningitis, peritonitis and sepsis [1-4]. Transmission may occur due to contaminated medical devices or solutions generally encountered in health care facilities. R. picketti has been reported to cause outbreaks also [5]. We present three case reports of R. pickettii bacteremia and a brief review of...
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