Rare Case of Psychrobacter Sanguinis Bacteremia in a Homeless Patient with Thigh Phlegmon

Psychrobacter sanguinis is an emerging opportunistic pathogen predominantly isolated from cold environments that is increasingly recognized for its clinical relevance. This case report documents a rare instance of P. sanguinis bacteremia in a 69-year-old homeless patient presenting with thigh phlegm...

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Main Authors: Bielec Filip, Machnicki Piotr, Mikołajczyk-Solińska Melania, Kasznicki Jacek, Pastuszak-Lewandoska Dorota, Brauncajs Małgorzata
Format: Article
Language:English
Published: Sciendo 2025-05-01
Series:Postępy Mikrobiologii
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Online Access:https://doi.org/10.2478/am-2025-0003
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author Bielec Filip
Machnicki Piotr
Mikołajczyk-Solińska Melania
Kasznicki Jacek
Pastuszak-Lewandoska Dorota
Brauncajs Małgorzata
author_facet Bielec Filip
Machnicki Piotr
Mikołajczyk-Solińska Melania
Kasznicki Jacek
Pastuszak-Lewandoska Dorota
Brauncajs Małgorzata
author_sort Bielec Filip
collection DOAJ
description Psychrobacter sanguinis is an emerging opportunistic pathogen predominantly isolated from cold environments that is increasingly recognized for its clinical relevance. This case report documents a rare instance of P. sanguinis bacteremia in a 69-year-old homeless patient presenting with thigh phlegmon. The patient was admitted with elevated inflammatory markers and treated empirically with antibiotics. Blood cultures identified P. phenylpyruvicus, later confirmed as P. sanguinis via 16S rRNA sequencing. Despite initial antibiotic therapy, the patient’s condition necessitated surgical intervention for phlegmon drainage. The antibiotic regimen was adjusted based on susceptibility profiles, leading to gradual clinical improvement. This case underscores the significance of accurate microbial identification in managing infections caused by less common pathogens. The severity of infection was doubtlessly influenced by the patient’s homeless status and associated risk factors, such as poor hygiene and potential environmental exposure. This report highlights the clinical implications of P. sanguinis and the importance of considering environmental pathogens in atypical presentations of bacteremia.
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publishDate 2025-05-01
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series Postępy Mikrobiologii
spelling doaj-art-c1c8c84bcdad49d9a1048aed62b958102025-08-04T09:40:09ZengSciendoPostępy Mikrobiologii2545-31492025-05-01641394510.2478/am-2025-0003Rare Case of Psychrobacter Sanguinis Bacteremia in a Homeless Patient with Thigh PhlegmonBielec Filip0Machnicki Piotr1Mikołajczyk-Solińska Melania2Kasznicki Jacek3Pastuszak-Lewandoska Dorota4Brauncajs Małgorzata5Department of Microbiology and Laboratory Medical Immunology, Medical University of Lodz, PolandDepartment of Microbiology and Laboratory Medical Immunology, Medical University of Lodz, PolandDepartment of Internal Medicine, Diabetology and Clinical Pharmacology, Medical University of Lodz, PolandDepartment of Internal Medicine, Diabetology and Clinical Pharmacology, Medical University of Lodz, PolandDepartment of Microbiology and Laboratory Medical Immunology, Medical University of Lodz, PolandDepartment of Microbiology and Laboratory Medical Immunology, Medical University of Lodz, PolandPsychrobacter sanguinis is an emerging opportunistic pathogen predominantly isolated from cold environments that is increasingly recognized for its clinical relevance. This case report documents a rare instance of P. sanguinis bacteremia in a 69-year-old homeless patient presenting with thigh phlegmon. The patient was admitted with elevated inflammatory markers and treated empirically with antibiotics. Blood cultures identified P. phenylpyruvicus, later confirmed as P. sanguinis via 16S rRNA sequencing. Despite initial antibiotic therapy, the patient’s condition necessitated surgical intervention for phlegmon drainage. The antibiotic regimen was adjusted based on susceptibility profiles, leading to gradual clinical improvement. This case underscores the significance of accurate microbial identification in managing infections caused by less common pathogens. The severity of infection was doubtlessly influenced by the patient’s homeless status and associated risk factors, such as poor hygiene and potential environmental exposure. This report highlights the clinical implications of P. sanguinis and the importance of considering environmental pathogens in atypical presentations of bacteremia.https://doi.org/10.2478/am-2025-0003antimicrobial therapyblood infectionclinical microbiologyopportunistic infection
spellingShingle Bielec Filip
Machnicki Piotr
Mikołajczyk-Solińska Melania
Kasznicki Jacek
Pastuszak-Lewandoska Dorota
Brauncajs Małgorzata
Rare Case of Psychrobacter Sanguinis Bacteremia in a Homeless Patient with Thigh Phlegmon
Postępy Mikrobiologii
antimicrobial therapy
blood infection
clinical microbiology
opportunistic infection
title Rare Case of Psychrobacter Sanguinis Bacteremia in a Homeless Patient with Thigh Phlegmon
title_full Rare Case of Psychrobacter Sanguinis Bacteremia in a Homeless Patient with Thigh Phlegmon
title_fullStr Rare Case of Psychrobacter Sanguinis Bacteremia in a Homeless Patient with Thigh Phlegmon
title_full_unstemmed Rare Case of Psychrobacter Sanguinis Bacteremia in a Homeless Patient with Thigh Phlegmon
title_short Rare Case of Psychrobacter Sanguinis Bacteremia in a Homeless Patient with Thigh Phlegmon
title_sort rare case of psychrobacter sanguinis bacteremia in a homeless patient with thigh phlegmon
topic antimicrobial therapy
blood infection
clinical microbiology
opportunistic infection
url https://doi.org/10.2478/am-2025-0003
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