Myroides causing Catheter Associated
Urinary Tract Infection in Diabetic
Patients: An Emerging Multidrug
Resistant "Superbug"
Published: November 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/46584.14322
Kalpana Chauhan, Priyanka Chaturvedi, Ravi Pratap Singh, Anita Pandey
1. Associate Professor, Department of Microbiology, Subharti Medical College, Meerut, Uttar Pradesh, India.
2. Tutor, Department of Microbiology, Subharti Medical College, Meerut, Uttar Pradesh, India.
3. Assistant Medical Superintendent, Department of Biochemistry, Subharti Medical College, Meerut, Uttar Pradesh, India.
4. Professor and Head, Department of Microbiology, Subharti Medical College, Meerut, Uttar Pradesh, India.
Correspondence
Kalpana Chauhan,
Department of Microbiology, Subharti Medical College, Meerut, Uttar Pradesh, India.
E-mail: drkalpanamicro@gmail.com
Myroidesis a nonfermentative, gram-negative rod shaped bacterium which is an emerging multidrug resistant pathogen causing many serious hospital acquired infections like Catheter Associated Urinary Tract Infection (CAUTI). The authors report a case series (four cases) of CAUTI caused by Myroides species which was resistant to all tested antibiotics (ticarcillin-clavulanic acid, piperacillin-tazobactam, ceftazidime, cefepime, aztreonam, cefoperazonesulbactam, imipenem, meropenem, amikacin, gentamycin ciprofloxacin, levofloxacin, colistin, tigecycline) and sensitive only to minocycline (minimum inhibitory concentration <1 µg/mL), in long-standing Diabetic Mellitus Type II patients. All the four patients were successfully treated with minocycline. Present cases highlight the importance of Myroides as a pathogen in Urinary Tract Infection (UTI) in diabetic patients, especially in nosocomial settings which clinicians should keep in mind.
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