Extended spectrum β-lactamase producing Shigella flexneri serotype-2 causing bacteremia in a patient with uncontrolled diabetes mellitus | Zendy

Balaji Veeraraghavan | Zendy; MarilynM Ninan | Zendy; TarunK George | Zendy; I Ramya | Zendy

Open Access

Extended spectrum β-lactamase producing Shigella flexneri serotype-2 causing bacteremia in a patient with uncontrolled diabetes mellitus

Author(s) -

Balaji Veeraraghavan,

MarilynM Ninan,

TarunK George,

I Ramya

Publication year - 2016

Publication title -

indian journal of pathology and microbiology

Language(s) - English

Resource type - Journals

eISSN - 0974-5130

pISSN - 0377-4929

DOI - 10.4103/0377-4929.188120

Subject(s) - shigella flexneri , bacteremia , serotype , medicine , shigella , diabetes mellitus , microbiology and biotechnology , salmonella , biology , virology , bacteria , antibiotics , endocrinology , escherichia coli , biochemistry , genetics , gene

We report a case of Shigella flexneri serotype-2 causing bacteremia in an elderly gentleman with uncontrolled diabetes mellitus, who had no other apparent risk factors. Antibiotic susceptibility testing revealed that the organism was a multidrug resistant extended spectrum beta-lactamase producing straian, which was confirmed by molecular characterization. This rare case alerts both the clinician and microbiologist to a previously unaddressed risk factor of Shigella spp. causing bacteremia, as well as emerging resistant strains that are on the rise in immunocompromised patients.

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