CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(02): 291-293
DOI: 10.4103/ijmpo.ijmpo_190_18
Practitioner Section

Myroides odoratus Central Nervous Infection in a Postneurosurgery Patient

Vivek G Bhat
Departments of Microbiology, ACTREC-Tata Memorial Centre, Navi Mumbai, Maharashtra, India
,
Hemant J Vira
Departments of Microbiology, ACTREC-Tata Memorial Centre, Navi Mumbai, Maharashtra, India
,
Prakash Shetty
Departments of Surgical Oncology, ACTREC-Tata Memorial Centre, Navi Mumbai, Maharashtra, India
,
Sudeep Gupta
Departments of Medical Oncology, ACTREC-Tata Memorial Centre, Navi Mumbai, Maharashtra, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

The organisms belonging to the genus Myroides are ubiquitously present in the environment and have been implicated in infections in immunocompromised patients. We report the recent isolation of Myroides odoratus from the cerebrospinal fluid (CSF) of a patient with anaplastic astrocytoma in the right frontal lobe who had undergone a supratentorial craniectomy for a recurrent right frontal tumor. The organism was identified by the VITEK-2 automated identification system (BioMérieux, Marcy-l'Étoile, France) in addition to microscopic morphology, cultural characteristics, and biochemical tests. The recovery of pure culture of M. odoratus from CSF culture and the patient's clinical response to treatment with cefoperazone–sulbactam support its potential etiological role. M. odoratus can be a causative agent of postneurosurgery central nervous system infection and is amenable to treatment with appropriate antibiotics.



Publication History

Article published online:
03 June 2021

© 2019. Indian Society of Medical and Paediatric Oncology. 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 Holmes B, Snell JJ, Lapage SP. Revised description, from clinical isolates, of Flavobacterium odoratum. Stutzer and Kwaschnina 1929, and designation of the neotype strain. Int J Syst Bacteriol 1977; 27: 330-6
  • 2 Beharrysingh R. Myroides bacteremia: A case report and concise review. IDCases 2017; 8: 34-6
  • 3 Ktari S, Mnif B, Koubaa M, Mahjoubi F, Ben Jemaa M, Mhiri MN. Nosocomial outbreak of Myroides odoratimimus urinary tract infection in a Tunisian hospital. J Hosp Infect 2012; 80: 77-81
  • 4 Macfarlane DE, Baum-Thureen P, Crandon I. Flavobacterium odoratum ventriculitis treated with intraventricular cefotaxime. J Infect 1985; 11: 233-8
  • 5 Laffineur K, Janssens M, Charlier J, Avesani V, Wauters G, Delmée M. Biochemical and susceptibility tests useful for identification of nonfermenting gram-negative rods. J Clin Microbiol 2002; 40: 1085-7
  • 6 Hsieh WS, Sung LL, Tsai KC, Ho HT. Evaluation of the VITEK 2 cards for identification and antimicrobial susceptibility testing of non-glucose-fermenting gram-negative bacilli. APMIS 2009; 117: 241-7
  • 7 Srinivas D, Veena Kumari HB, Somanna S, Bhagavatula I, Anandappa CB. The incidence of postoperative meningitis in neurosurgery: An institutional experience. Neurol India 2011; 59: 195-8
  • 8 Chen C, Zhang B, Yu S, Sun F, Ruan Q, Zhang W. et al. The incidence and risk factors of meningitis after major craniotomy in China: A retrospective cohort study. PLoS One 2014; 9: e101961
  • 9 McClelland 3rd S, Hall WA. Postoperative central nervous system infection: Incidence and associated factors in 2111 neurosurgical procedures. Clin Infect Dis 2007; 45: 55-9
  • 10 Soavi L, Rosina M, Stefini R, Fratianni A, Cadeo B, Magri S. et al. Post-neurosurgical meningitis: Management of cerebrospinal fluid drainage catheters influences the evolution of infection. Surg Neurol Int 2016; 7: S927-34
  • 11 Elantamilan D, Lyngdoh VW, Choudhury B, Khyriem AB, Rajbongshi J. Septicaemia caused by Myroides spp.: A case report. JMM Case Rep 2015; 2: 1-4
  • 12 Hu SH, Yuan SX, Qu H, Jiang T, Zhou YJ, Wang MX. Antibiotic resistance mechanisms of Myroides sp. J Zhejiang Univ Sci B 2016; 17: 188-99