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Volume 25, Number 8—August 2019
Research Letter

Erwinia billingiae as Unusual Cause of Septic Arthritis, France, 2017

Isabelle Bonnet, Baptiste Bozzi, Eric Fourniols, Stéphane Mitrovic, Olivia Soulier-Escrihuela, Florence Brossier1, Wladimir Sougakoff, Jérôme Robert, Stéphane Jauréguiberry, Alexandra AubryComments to Author , on behalf of the Pitié-Salpêtrière Infection Ostéo-articulaire group
Author affiliations: Assistance Publique–Hôpitaux de Paris, Hôpitaux Universitaires Pitié Salpêtrière–Charles Foix, Paris, France (I. Bonnet, B. Bozzi, E. Fourniols, S. Mitrovic, O. Soulier-Escrihuela, F. Brossier, W. Sougakoff, J. Robert, S. Jauréguiberry, A. Aubry); Sorbonne Université, Cimi-Paris, U1135, Paris (I. Bonnet, F. Brossier, W. Sougakoff, J. Robert, A. Aubry)

Main Article

Table

Case reports from the literature of infection caused by Erwinia spp.*

Patient age, y/sex Type of infection Inoculated Published (actual) species name Identification method† Antimicrobial drug; treatment duration Surgery Clinical evolution Ref
65/F
SSTI
Yes
Erwinia sp.
Biochemical
Penicillin, then penicillin and sulfisoxazole; NA
Yes
Recovered
(2)
Adult/F
Peritoneal dialysis fluid infection
No
Erwinia strains of the lathyri-herbicola group
Biochemical
NA; NA
No
NA
(3)
Adult/F
SSTI
Yes
Erwinia strains of the lathyri-herbicola group
Biochemical
Chloramphenicol; NA
No
Recovered
(3)
Adult/M
SSTI
Yes
Erwinia strains of the lathyri-herbicola group
Biochemical
Ampicillin; NA
No
Recovered
(3)
Adult/M
SSTI
Yes
Erwinia strains of the lathyri-herbicola group
Biochemical
Penicillin; NA
No
Recovered
(3)
Adult/M
Brain abscess
No
Erwinia strains of the lathyri-herbicola group
Biochemical
NA; NA
Yes
NA
(3)
17/F
Bacteremia
Yes
Erwinia herbicola; (Pantoea agglomerans)
Biochemical
Streptomycin and penicillin; NA
No
Recovered
(4)
17/M
Bacteremia
Yes
E. herbicola (P. agglomerans)
Biochemical
Cephalothin; NA
No
Recovered
(4)
28/M
Bacteremia
Yes
Erwinia sp.
Biochemical
Ampicillin then ampicillin and kanamycin; NA
No
Recovered
(4)
57/M
Brain abscess
No
Erwinia sp.
Biochemical
Penicillin and streptomycin, then ampicillin, then chloramphenicol, then gentamicin; NA
Yes
Recovered
(5)
70/M
Endophtalmitis
Yes
E. herbicola (P. gglomerans)
Biochemical
Cefazolin and gentamicin; 37 d until surgery (NA after surgery)
Yes
Recovered
(6)
66/F
UTI
No
E. herbicola (P. agglomerans)
Biochemical
NA; NA
No
Died
(7)
69/F
UTI
No
E. herbicola (P. agglomerans)
Biochemical
NA; NA
No
Recovered
(7)
62/F
UTI
No
E. herbicola (P. agglomerans)
Biochemical
NA; NA
No
Recovered
(7)
46/M
Endocarditis
No
E. herbicola (P. agglomerans)
Biochemical
Cefotaxime and netilmicin; 6 weeks
No
Recovered
(8)
79/F
Cervical lymphadenitis
No
Erwinia tasmaniensis (E. tasmaniensis
16S rRNA‡
Ciprofloxacin; 2 weeks
Yes
Recovered
(9)
40/M Dermohypodermitis Yes Erwinia billingiae (E. billingiae) NA Ciprofloxacin; 14 d No Recovered (10)

*NA, not available; ref, reference; SSTI, skin and soft tissue infection; UTI, urinary tract infection.
†Biochemical testing included Kligler iron agar (assess slant, butt, H2S production), tests for carbohydrate fermentation (adonitol, fructose, galactose, glucose, inositol, lactose, maltose, mannitol, mannose, raffinose, rhamnose, salicin, sorbitol, sucrose, xylose), ONPG (ortho-nitrophenyl-galactosidez) test, gluconate test, gelatin hydrolysis test, tests for nitrate reduction and N2 production, indole test, methyl red test, Voges–Proskauer test, casein hydrolysis test, citrate utilization test, urease test, catalase test, oxidase test, arginine dihydrolase test, lysine decarboxylase test, ornithine decarboxylase test, lipase test, amylase test, pectinase test, deoxyribonuclease test, lecithinase test, salinity tests (2.5% NaCl, 10.0% NaCl [pH 5.6]), Tetrazolium-Formazan test (TTC [triphenyl tetrazolium chloride]), cetrimide selection agar, tyrosinase test, and tests for carbohydrate assimilation (glucose, acetate, lactate, succinate).
E. tasmaniensis (98.9%), E. toletana (98.8%), and E. billingiae (98.1%) (EzTaxon Database, https://everipedia.org/wiki/lang_en/EzTaxon_Database).

Main Article

1Deceased.

2Group members are listed at the end of this article.

Page created: July 16, 2019
Page updated: July 16, 2019
Page reviewed: July 16, 2019
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