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Volume 26, Number 2—February 2020
Dispatch

Elizabethkingia anophelis Infection in Infants, Cambodia, 2012–2018

Thomas A.N. ReedComments to Author , Gabriella Watson, Chheng Kheng, Pisey Tan, Tamalee Roberts, Clare L. Ling, Thyl Miliya, and Paul Turner
Author affiliations: Angkor Hospital for Children, Siem Reap, Cambodia (T.A.N. Reed, G. Watson, C. Kheng, P. Tan, T. Miliya, P. Turner); Lao-Oxford-Mahosot Hospital, Vientiane, Laos (T. Roberts); Mahidol University, Mae Sot, Thailand (C.L. Ling); University of Oxford, Oxford, UK (C.L. Ling, P. Turner)

Main Article

Table

Characteristics of Elizabethkingia anophelis isolates from Cambodia and Thailand*

Characteristic Isolate no.
1 (this study) 2 3 4 5 6 7
Patient characteristics
Sex F M F M F M F
Age at admission 6 d 8 mo 15 wk 0 d 51 d 0 d 0 d
Concurrent condition Prematurity† Duodenal atresia Failure to thrive Prematurity† Ventricular septal defect Prematurity† Prematurity†
Country
 Cambodia
 Cambodia
 Cambodia
 Cambodia
 Cambodia
 Cambodia
 Thailand
Clinical features
Diagnosis Meningitis VAP Meningitis Sepsis VAP Sepsis Sepsis
Treatment CIP/VAN MER CAX AMP/GM CIP IMP AMP/GM
Outcome Survived Died Unknown‡ Died Died Survived Died
Length of admission, d
 31
 16
 1
 5
 79
 35
 25
Specimen details
Collection date 2018 Oct 2018 Jan 2015 Aug 2013 Aug 2012 Sep 2012 Mar 2017 Apr
Specimen type Blood Respiratory secretion Blood Blood Respiratory secretion Blood Blood
Hospitalization day 
collected
 1
 16
 1
 5
 64
 21
 22
Isolate details
First ID E. anophelis E. meningoseptica C. meningosepticum E. meningoseptica
Initial ID method
 MALDI-TOF
 MALDI-TOF
 API 20NE
 API 20NE
 API 20NE
 API 20NE
 API 20NE
MIC (µg/mL)
VAN 8 16 16 16 8 16 8
SXT 0.25 0.25 0.25 0.5 0.25 0.5 NA§
CAX 32 64 >256 64 64 >256 >256
CIP 1 0.5 0.5 0.5 0.5 0.5 1

*AMP, ampicillin; CAX, ceftriaxone; CIP, ciprofloxacin; F, female; GM, gentamicin; ID, identification; IMP, imipenem; M, male; MER, meropenem; SXT, sulfamethoxazole/trimethoprim; VAN, vancomycin; VAP, ventilator-associated pneumonia.
†It was not possible to retrieve gestational age for all patients.
‡Patient left hospital against medical advice.
§Sulfamethoxazole/trimethoprim MIC testing not available in the Thailand laboratory.

Main Article

Page created: January 20, 2020
Page updated: January 20, 2020
Page reviewed: January 20, 2020
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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