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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Sciendo
2025-05-01
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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. |
format | Article |
id | doaj-art-c1c8c84bcdad49d9a1048aed62b95810 |
institution | Matheson Library |
issn | 2545-3149 |
language | English |
publishDate | 2025-05-01 |
publisher | Sciendo |
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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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