Open AccessMyroides causing Catheter Associated Urinary Tract Infection in Diabetic Patients: An Emerging Multidrug Resistant “Superbug”
Author(s) -
Kalpana Chauhan,
Priyanka Chaturvedi,
Ravi Pratap Singh,
Anita Pandey
Publication year - 2020
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2020/46584.14322
Subject(s) - medicine , tigecycline , aztreonam , ciprofloxacin , colistin , piperacillin , imipenem , meropenem , cefepime , microbiology and biotechnology , ticarcillin , tazobactam , urinary system , levofloxacin , minocycline , antibiotics , antibiotic resistance , pseudomonas aeruginosa , biology , bacteria , genetics
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.