Severe Burkholderia (Pseudomonas) gladioli infection in chronic granulomatous disease: report of two successfully treated cases

Clin Infect Dis. 1995 Nov;21(5):1291-3. doi: 10.1093/clinids/21.5.1291.

Abstract

Chronic granulomatous disease (CGD) is characterized by a defect in phagocytic cells that leads to recurrent superficial and deep pyogenic infections. Burkholderia (Pseudomonas) gladioli is a gram-negative bacillus in the pseudomallei group of pseudomonads that is known primarily as a plant pathogen. We report two cases of pneumonia, one accompanied by septicemia, caused by B. gladioli in patients with CGD and their successful treatment with antibiotics. We believe these represent the first reports of human disease caused by this organism. We conclude that B. gladioli should be considered a potential pathogen in patients with CGD.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents
  • Bacteremia / drug therapy
  • Bacteremia / etiology
  • Burkholderia / isolation & purification
  • Burkholderia / metabolism
  • Burkholderia / pathogenicity
  • Burkholderia Infections / drug therapy
  • Burkholderia Infections / etiology*
  • Drug Therapy, Combination / therapeutic use
  • Granulomatous Disease, Chronic / complications*
  • Humans
  • Male
  • Pneumonia, Bacterial / drug therapy
  • Pneumonia, Bacterial / etiology

Substances

  • Anti-Bacterial Agents