Chryseobacterium indologenes Associated Urinary Tract Infection – A Case Report

Introduction: Chryseobacterium indologenes, a non-fermentative Gram negative bacillus, is an uncommon pathogen in humans. It causes a variety of invasive infections especially in hospitalized patients with severe underlying disease and with indwelling devices. Case Report: A 21 year old, primigravida with 39.6 weeks of gestation, underwent induced labour with vaccum assisted delivery for intrauterine foetal death. She was catheterized for 24 hrs, after which she developed fever spike. The patient was started on Ciprofloxacin empirically. Urine culture was positive for multidrug resistant C. indologenes. The strain was sensitive only to Tetracycline, Tigecycline and Co-trimoxazole. The antibiotic was changed to Tigecycline to which she responded clinically. Conclusion: Chryseobacterium indologenes, though a rare pathogen has gained importance because of its multidrug resistant nature. Appropriate management warrants accurate identification and antimicrobial susceptibility testing.

Author(s): V Solanke, S Verma, G Nataraj and P Mehta

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