Cupriavidus pauculus bacteremia in a child on extracorporeal membrane oxygenation

ASAIO J. 2014 Nov-Dec;60(6):740-1. doi: 10.1097/MAT.0000000000000120.

Abstract

We report a case of bacteremia secondary to Cupriavidus pauculus in a 15-month-old boy on extracorporeal membrane oxygenation (ECMO). The source of the organism was water in the thermoregulator reservoir. The child responded well to cefepime and ciprofloxacin, a delayed oxygenator change out and replacement of the thermoregulator reservoir with a unit that was cleaned and decontaminated with sodium hypochlorite. Isolation of Cupriavidus pauculus from a patient on ECMO support should raise suspicion of the reservoir as a source.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Bacteremia / drug therapy
  • Bacteremia / etiology*
  • Bacteremia / microbiology
  • Cefepime
  • Cephalosporins / administration & dosage
  • Ciprofloxacin / administration & dosage
  • Cupriavidus* / isolation & purification
  • Decontamination
  • Disease Reservoirs / microbiology
  • Drug Therapy, Combination
  • Extracorporeal Membrane Oxygenation / adverse effects*
  • Extracorporeal Membrane Oxygenation / instrumentation
  • Gram-Negative Bacterial Infections / drug therapy
  • Gram-Negative Bacterial Infections / etiology*
  • Gram-Negative Bacterial Infections / microbiology
  • Heart Transplantation
  • Humans
  • Hypoplastic Left Heart Syndrome / complications
  • Hypoplastic Left Heart Syndrome / therapy
  • Infant
  • Male
  • Water Microbiology

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Ciprofloxacin
  • Cefepime