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Volume 28, Number 2—February 2022
Research

Invasive Burkholderia cepacia Complex Infections among Persons Who Inject Drugs, Hong Kong, China, 2016–2019

Kristine Shik Luk, Yat-ming TsangComments to Author , Alex Yat-man Ho, Wing-kin To, Ben Kwok-ho Wong, Maureen Mo-lin Wong, and Yiu-chung Wong
Author affiliations: Princess Margaret Hospital, Hong Kong, China (K.S. Luk, Y.M. Tsang, A.Y.M. Ho, W.K. To); Caritas Medical Centre, Hong Kong (B.K.H. Wong, M.M.L Wong); Yan Chai Hospital, Hong Kong (Y.C. Wong)

Main Article

Table 1

Clinical features of invasive infections caused by Burkholderia cepacia complex in persons who inject drugs, Hong Kong, China, 2016–2019

Patient no. Age, y/sex Underlying conditions Symptoms (duration, d) Body temperature, °F (°C) ASIA impairment scale* Infection type
1
51/F
Diabetes mellitus, hepatitis C
Back pain lower limb numbness and weakness (3)
98.2 (36.8)
D
T11/12 spondylodiscitis with cord compression
2
66/M
Hepatitis C
Back pain (20)
97.9 (36.6)
E
L4/5 spondylodiscitis
3
66/M
Hepatocellular carcinoma, hepatitis C
Right upper limb numbness and weakness (60)
98.8 (37.1)
D
C5/6, C6/7 spondylodiscitis with prevertebral abscess
4
65/M
Deep vein thrombosis, pseudo-aneurysm, right above-knee amputation, hepatitis C
Reduced general condition, dizziness and vomiting (1)
99.3 (37.4)
NA
Endocarditis and septic emboli in lungs
5
60/M
Schizophrenia, deep vein thrombosis, pseudo-aneurysm, hepatitis C
Fever, right leg pain and redness (1)
103.1 (39.5)
NA
Intramuscular abscess and bacteremia†
6
59/M
Gout
Back pain and bilateral foot numbness (7)
98.4 (36.9)
E
L5/S1 spondylodiscitis
7
51/F
Psoas abscess, deep vein thrombosis, fractured right hip with open fixation, hepatitis C
Right hip pain, not able to bear weight (7)
99.0 (37.2)
NA
Right hip prosthetic joint infection and osteomyelitis
8
69/M
Asthma, infective spondylodiscitis
Right knee pain (3)
101.1 (38.4)
NA
Right knee septic arthritis and intramuscular abscess†
9
62/M
Stroke, hepatitis B, hepatitis C
Fever, back pain, right lower limb numbness, and tingling sensation (4)
99.1 (37.3)
E
L3/4, L5/S1 spondylodiscitis
10
64/M
Stroke, deep vein thrombosis, infective cervical spondylitis, hepatitis C
Back pain with radiation to right lateral thigh and weakness (3)
99.3 (37.4)
D
L2/3 spondylodiscitis
11
46/M
Esophageal cancer, hepatitis C
Fever, drowsiness, cough, dyspnea (1)
103.3 (39.6)
NA
Endocarditis and septic emboli in brain†
12
66/M
Infective endocarditis, hepatitis C
Back pain and lower limb weakness (14)
98.2 (36.8)
D
L1/2 spondylodiscitis with cord compression
13 55/M Hepatitis C Left knee and thigh pain (2) 96.8 (36) NA Left thigh intramuscular abscess and necrotizing fasciitis†

*ASIA impairment scale: A = complete (no motor or sensory function in S4–S5); B = incomplete (sensory function below neurologic level and in S4–S5, no motor function below neurologic level); C = incomplete (motor function is preserved below neurologic level, and more than half of the key muscle groups below neurologic level have a muscle grade <3); D = incomplete (motor function is preserved below neurologic level, and at least half of the key muscle groups below neurologic level have a muscle grade 3); E = normal. ASIA, American Spinal Injury Association; NA, not applicable. †Polymicrobial infection: Arcanobacterium haemolyticum in abscess aspirate of patient 5; Streptococcus pneumoniae, Streptococcus constellatus, and Bacteroides fragilis in joint fluid from patient 8; Staphylococcus aureus and Enterococcus faecalis in blood of patient 11; and group G Streptococcus, Peptoniphilus harei, and Finegoldia magna in abscess aspirate from patient 13.

Main Article

Page created: December 02, 2021
Page updated: January 22, 2022
Page reviewed: January 22, 2022
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