Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature Review

The bacterial genus Myroides, like other members of the Flavobacteriaceae family, consists of aerobic, non-motile, Gram-negative bacilli. Myroides spp. is considered predominantly opportunistic pathogens as, historically, most documented infections have been in immunocompromised individuals. Along w...

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Main Authors: Melissa O’Neal, Caitlin E. Labay, Jesse E. Harris, William L. Musick, Patricia L. Cernoch, Kevin A. Grimes, Jiejian Lin, Shivan Shah, Elizabeth Ramos-Salazar
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2022/6422861
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author Melissa O’Neal
Caitlin E. Labay
Jesse E. Harris
William L. Musick
Patricia L. Cernoch
Kevin A. Grimes
Jiejian Lin
Shivan Shah
Elizabeth Ramos-Salazar
author_facet Melissa O’Neal
Caitlin E. Labay
Jesse E. Harris
William L. Musick
Patricia L. Cernoch
Kevin A. Grimes
Jiejian Lin
Shivan Shah
Elizabeth Ramos-Salazar
author_sort Melissa O’Neal
collection DOAJ
description The bacterial genus Myroides, like other members of the Flavobacteriaceae family, consists of aerobic, non-motile, Gram-negative bacilli. Myroides spp. is considered predominantly opportunistic pathogens as, historically, most documented infections have been in immunocompromised individuals. Along with advancements in molecular assay testing, there are growing reports of clinically relevant Myroides spp. infections in immunocompetent individuals. These organisms display broad antimicrobial resistance, and while research into their mechanisms of resistance is progressing, genetic testing has revealed metallo-β-lactamases present in their genome. The sporadic identification of Myroides spp. and ongoing clarification of resistance patterns make empiric treatment difficult. This report documents two cases of extensively drug-resistant Myroides odoratus isolated from critically ill but otherwise immunocompetent patients followed by a review of available literature on Myroides spp. antibiotic sensitivities. Our findings indicate that minocycline and moxifloxacin have the highest documented in vitro activity against Myroides spp.
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series Case Reports in Infectious Diseases
spelling doaj-art-9e5a2c9292d5488486b2a5084ede0b472025-08-20T03:38:43ZengWileyCase Reports in Infectious Diseases2090-66332022-01-01202210.1155/2022/6422861Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature ReviewMelissa O’Neal0Caitlin E. Labay1Jesse E. Harris2William L. Musick3Patricia L. Cernoch4Kevin A. Grimes5Jiejian Lin6Shivan Shah7Elizabeth Ramos-Salazar8Department of PharmacyDepartment of PharmacyDepartment of PharmacyDepartment of PharmacyDepartment of Pathology and Genomic MedicineDivisions of Infectious DiseaseDivisions of Infectious DiseaseDivisions of Infectious DiseaseDivisions of Infectious DiseaseThe bacterial genus Myroides, like other members of the Flavobacteriaceae family, consists of aerobic, non-motile, Gram-negative bacilli. Myroides spp. is considered predominantly opportunistic pathogens as, historically, most documented infections have been in immunocompromised individuals. Along with advancements in molecular assay testing, there are growing reports of clinically relevant Myroides spp. infections in immunocompetent individuals. These organisms display broad antimicrobial resistance, and while research into their mechanisms of resistance is progressing, genetic testing has revealed metallo-β-lactamases present in their genome. The sporadic identification of Myroides spp. and ongoing clarification of resistance patterns make empiric treatment difficult. This report documents two cases of extensively drug-resistant Myroides odoratus isolated from critically ill but otherwise immunocompetent patients followed by a review of available literature on Myroides spp. antibiotic sensitivities. Our findings indicate that minocycline and moxifloxacin have the highest documented in vitro activity against Myroides spp.http://dx.doi.org/10.1155/2022/6422861
spellingShingle Melissa O’Neal
Caitlin E. Labay
Jesse E. Harris
William L. Musick
Patricia L. Cernoch
Kevin A. Grimes
Jiejian Lin
Shivan Shah
Elizabeth Ramos-Salazar
Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature Review
Case Reports in Infectious Diseases
title Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature Review
title_full Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature Review
title_fullStr Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature Review
title_full_unstemmed Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature Review
title_short Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature Review
title_sort extensively drug resistant myroides odoratus in critically ill patients a case series and literature review
url http://dx.doi.org/10.1155/2022/6422861
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