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Table 1 Reported cases of Cellulosimicrobium species (or Oerskovia) infections

From: Infections due to Cellulosimicrobium species: case report and literature review

Ref

Age/sex

Predisposing condition or underlying disease

Species (specimen)

Type of infection

Foreign body (time before)/ removal

Antibiotic therapya and surgery

Failed antibiotic therapy aloneb

Outcome

[9]

68 yr./M

Aortic insufficiency, prosthetic valve, Crohn’s, ankylosing spondylitis, steroids

O. turbata (blood, prosthetic heart valve)

Endocarditis

Prosthetic heart valve (2 mo)/yes

PEN, AMP + ERY, SXT, SXT + AMP, SXT + AMX

Aortic valve replacement

Yes

Cure

[10]

3 yr./M

Acute myelogenous leukemia, neutropenia

O. turbata (blood)

CVC-related bacteremia

CVC (1 mo)/yes

AMK

Yes

Cure

[11]

40 yr./F

Crohn’s, short bowel syndrome

Oerskovia species (blood, TPN solution)

CVC-related bacteremia

CVC (9 mo)/no

VAN+GEN + MET, VAN

No

Cure

[12]

40 yr./M

Alcoholism, cirrhosis

O. xanthineolytica (blood)

Bacteremia

None

VAN+GEN + CLI

NA

Cure

[13]

54 yr./F

Metastatic breast cancer, chemotherapy

O. xanthineolytica (blood)

CVC-related? bacteremia

CVC (4 mo) (unclear role)/no

CXM, VAN

No

Cure

[14]

49 yr./F

Metastatic colonic cancer

O. xanthineolytica (blood, CVC tip)

CVC-related bacteremia

CVC (15 mo)/no

VAN

No

Cure

[15]

27 yr./M

AIDS, neutropenia

O. turbata (blood)

CVC-related bacteremia

CVC (4 wk)/yes

IMP+AMK

NA

Cure

[16]

53 yr./F

Non-Hodgkin’s lymphoma, BMT, neutropenia

O. xanthineolytica (blood, CVC tip)

CVC-related bacteremia ➔Endocarditis

CVC (1 yr)/yes

DOX, CLI, MPM, AMX + SXT, IMP+AMK, CLA + RIF, PEN

NA

Death

[17]

64 yr./F

Peritonitis carcinomatosa

O. xanthineolytica (blood)

Bacteremia

None

PTZ, PTZ + NET, VAN+NET, PTZ + NET

NA

Cure

[18]

31 yr./M

CRF, renal transplant, DM

O. xanthineolytica (blood, heart valve)

CVC-related bacteremia ➔Endocarditis

CVC (NR)/yes

AMS, AMS + VAN, CAZ + VAN, VAN

Aortic valve replacement

NA

Cure

[19]

13 yr./M

Short bowel syndrome

C. cellulans (blood)

CVC-related bacteremia

CVC (NR)/no

VAN+CTX, VAN+GEN, VAN, VAN+RIF

No

Cure

[20]

1 d/M

None

C. cellulans (blood)

Bacteremia

None

CTX + AMP, VAN

NA

Cure

[21]

81 yr./M

Aortic stenosis, prosthetic valve

C. funkei (blood)

Endocarditis

Prosthetic heart valve

(7 mo)/no

AMC, VAN+GEN

Yes

Death

[22]

59 yr./M

COPD, arteriosclerosis

C. cellulans (blood)

CVC-related bacteremia

CVC (7 d)/yes

VAN+PTZ

NA

Death

[23]

80 yr./F

CRF, hemodialysis

C. cellulans (blood)

CVC-related bacteremia

CVC (NR)/yes

VAN

Yes

Curec

[24]

59 yr./F

Metastatic rectal cancer

C. cellulans (blood)

CVC-related bacteremia

CVC (NR)/yes

VAN, VAN+IMP, VAN

Yes

Cure

[25]

44 yr./F

T-cell lymphoma, BMT, neutropenia

Cellulosimicrobium species (blood, CVC tip)

CVC-related bacteremia

CVC (5 wk)/yes

VAN+CPM, VAN+MPM, VAN

NA

Death

[26]

≈50 yr./M

DM

Oerskovia species (blood)

Osteomyelitis

None

VAN+CPM + MET, SXT

Amputation

NA

Cure

[27]

47 yr./F

Kidney trouble?

Oerskovia species (kidney)

Pyonephrosis

None

Nephrectomy

NA

Cure

[28]

47 yr./M

Penetrating eye injury, steroids

O. xanthineolytica (vitreous humor)

Endophthalmitis

Intraocular metallic object (12 d)/yes

GEN (sc), PEN, PEN+CFL

Vitrectomy

NA

Cure

[29]

38 yr./F

Hydrocephalus

O. xanthineolytica (CSF)

Meningitis

VP shunt (7 yr)/yes

PEN, PEN+RIF

Yes

Cure

[30]

70 yr./M

CRF, CAPD

O. xanthineolytica (peritoneal fluid, PC tip)

Peritonitis

PC (11 yr)/yes

VAN+GEN

Yes

Cure

[31]

23 yr./M

AIDS

O. turbata (subcutaneous fluid)

Soft tissue infection

None

Debridement

NA

Cure

[5]

53 yr./F

Arthropathy, intramuscular injections

O. xanthineolytica (subcutaneous fluid)

Soft tissue infection

None

DOX

NA

Cure

[5]

72 yr./M

None

O. xanthineolytica (bile)

Cholecystitis

None

CFX

Cholecystectomy

NA

Cure

[32]

59 yr./F

CRF, CAPD, DM

O. xanthineolytica (peritoneal fluid)

Peritonitis

PC (6 wk)/no

VAN (ip) + TOB, DOX

No

Cure

[33]

28 yr./F

None

O. xanthineolytica (cornea)

Keratitis

Contact lens (NR)/yes

CFZ (drops) + GEN (drops)

NA

Cure

[34]

72 yr./M

Gonarthrosis, knee prosthesis, closed knee injury, alcoholism

O. xanthineolytica (sinovial tissue, bone)

Prosthetic joint infection

Prosthetic joint (3 yr)/yes

VAN, SXT

Two-stage reimplantation

NA

Cure

[35]

13 yr./F

CRF, CAPD

O. xanthineolytica (peritoneal fluid)

Peritonitis

PC (11 mo)/no

VAN (ip)

No

Cure

[36]

23 mo/F

None

O. xanthineolytica (intervertebral biopsy)

Spondylodiscitis

None

CFT + RIF, CXM + RIF

NA

Cure

[37]

48 yr./M

HIV

C. cellulans (ulcer)

Tongue ulcer

None

PEN+AZI

NA

Cure

[38]

44 yr./M

Hydrocephalus

O. xanthineolytica (CSF, VP shunt)

Meningitis

VP shunt (3 mo)/yes

VAN+RIF

Yes

Cure

[39]

76 yr./M

COPD

O. turbata (bile)

Cholecystitis

None

Cholecystectomy

NA

Cure

[40]

5 yr./M

Penetrating hand injury

C. cellulans (tendon, deep biopsy)

Tenosynovitis

Splinters (4 mo)/yes

SXT + RIF

Debridement

NA

Cure

[41]

1 d/M

Premature

O. xanthineolytica (lung)

Pneumonia

None

CTX + GEN

NA

Death

[42]

72 yr./F

Cataract surgery

C. cellulans (vitreous humor)

Endophthalmitis

Intraocular lens (1 d)/no

VAN (iv) + CAZ (iv)

No

Cure

[42]

74 yr./M

Cataract surgery, arteriosclerosis

C. cellulans (vitreous humor)

Endophthalmitis

Intraocular lens (3 d)/no

VAN (iv) + CAZ (iv)

No

Cure

[42]

78 yr./F

Cataract surgery

C. cellulans (vitreous humor)

Endophthalmitis

Intraocular lens (7 d)/no

VAN (iv) + CAZ (iv)

Vitrectomy

No

Cure

[43]

28 yr./M

Penetrating eye injury

C. cellulans (vitreous humor)

Endophthalmitis

Intraocular metallic object (2 d)/yes

VAN+CAZ + CLI, VAN+CAZ + MOX (all iv)

Vitrectomy

Yes

Cure

[44]

45 yr./M

None

C. cellulans (vitreous humor)

Endophthalmitis

None

CIP, VAN (iv) + CAZ (iv)

Vitrectomy

NA

Cure

[45]

62 yr./M

CRF, CAPD

O. turbata (peritoneal fluid)

Peritonitis

PC (3 yr)/yes

VAN (ip) + GEN (ip) + CIP, VAN (ip) + SXT, VAN (ip) + GEN (ip) + SXT, VAN (ip)

Yes

Cure

[46]

81 yr./M

CRF, penetrating knee injury

C. cellulans (sinovial fluid)

Arthritis

None

LEV, LEV+LNZ, LNZ + RIF

Debridement

NA

Cure

[47]

50 yr./F

CRF, CAPD, DM

C. cellulans (peritoneal fluid, PC tip)

Peritonitis

PC (15 mo)/yes

CAZ (ip) + TOB (ip), CAZ (ip) + TOB (ip) + VAN (ip), VAN

Yes

Cure

  1. AIDS Acquired immunodeficiency síndrome, AMC Amoxicillin-clavulanate, AMK Amikacin, AMP Ampicillin, AMS Ampicilllin-sulbactam, AMX Amoxicillin, AZI Azithromycin, BMT Bone marrow transplant, CAPD Chronic ambulatory peritoneal dialysis, CAZ Ceftazidime, CFL Cephalexin, CFT Ceftriaxone, CFX Cefoxitin, CFZ Cefazolin, CIP Ciprofloxacin, CLA Clarithromycin, CLI Clindamycin, COPD Chronic obstructive pulmonary disease, CPM Cefepime, CRF Chronic renal failure, CSF Cerebrospinal fluid, CTX Cefotaxime, CVC Central venous catheter, CXM Cefuroxime, DM Diabetes mellitus, DOX Doxycycline, ERY Erythromycin, GEN Gentamycin, HIV Human immunodeficiency virus, IMP Imipenem, ip Intraperitoneal, iv Intravitreal, LEV Levofloxacin, LNZ Linezolid, MET Metronidazole, MOX Moxifloxacin, MPM Meropenem, NA Not applicable, NR Not reported, NET Netilmicin, PC Peritoneal catheter, PEN Penicillin, PR Present report, PTZ Piperacillin-tazobactam, RIF Rifampin, sc Subconjunctival, SXT Trimetroprim-sulfamethoxazole, TOB Tobramycin, TPN Total parenteral nutrition, VAN Vancomycin, VP Ventriculoperitoneal
  2. aThe route of administration is systemic if it is not specified
  3. bThat is, foreign body associated infections which were not cured by antibiotic therapy alone (10 cases requiring its removal and another case resulting in death)
  4. cLater death not attributable to the infection