Pseudomonas mendocina bacteraemia secondary to cellulitis – a report and brief series of cases
Background: Pseudomonas mendocina is a rare cause of disease in humans with few cases described, but known to cause severe infections, mainly endocarditis and bacteraemia. Case description: An 86-year-old Caucasian male, with several vascular risk factors (type 2 diabetes, hypertension, dyslipidaemi...
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SMC MEDIA SRL
2025-01-01
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| Series: | European Journal of Case Reports in Internal Medicine |
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| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5094 |
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| author | Jorge Reis Francisca Carmo Inês Soares Catarina Salvado Mariana Fidalgo |
| author_facet | Jorge Reis Francisca Carmo Inês Soares Catarina Salvado Mariana Fidalgo |
| author_sort | Jorge Reis |
| collection | DOAJ |
| description | Background: Pseudomonas mendocina is a rare cause of disease in humans with few cases described, but known to cause severe infections, mainly endocarditis and bacteraemia.
Case description: An 86-year-old Caucasian male, with several vascular risk factors (type 2 diabetes, hypertension, dyslipidaemia, coronary heart disease and heart failure), who presented long-standing lower limb phlyctens for which he was being treated, developed lower limb cellulitis. When observed in the Emergency Department, he was septic and was admitted for treatment and surveillance. Blood cultures were positive for P. mendocina. He was treated with antibiotics and recovered, and was discharged home.
Conclusion: Damage to the skin barrier as in cellulitis provides a point of entry for P. mendocina, a microorganism that lives in soil and water. The source of contamination is rarely identified, but immunocompromised people present a higher risk of infection and severe disease. The antibiotic susceptibility profile is different from the more common Pseudomonas aeruginosa, with fewer known resistances. Albeit rare, this is thought to be an underreported infection that clinicians should be aware of. |
| format | Article |
| id | doaj-art-a007b8c6f315428b89d28159dd0d4311 |
| institution | Kabale University |
| issn | 2284-2594 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj-art-a007b8c6f315428b89d28159dd0d43112025-02-04T13:37:20ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-01-0110.12890/2025_0050944629Pseudomonas mendocina bacteraemia secondary to cellulitis – a report and brief series of casesJorge Reis0Francisca Carmo1Inês Soares2https://orcid.org/0000-0002-8730-6461Catarina Salvado3https://orcid.org/0009-0003-5726-9553Mariana Fidalgo4https://orcid.org/0000-0002-7572-5108Department of Internal Medicine, Unidade Local de Saúde Gaia/Espinho, Vila Nova de Gaia, PortugalDepartment of Internal Medicine, Unidade Local de Saúde Gaia/Espinho, Vila Nova de Gaia, PortugalDepartment of Internal Medicine, Unidade Local de Saúde Gaia/Espinho, Vila Nova de Gaia, PortugalDepartment of Internal Medicine, Unidade Local de Saúde Gaia/Espinho, Vila Nova de Gaia, PortugalDepartment of Internal Medicine, Unidade Local de Saúde Gaia/Espinho, Vila Nova de Gaia, PortugalBackground: Pseudomonas mendocina is a rare cause of disease in humans with few cases described, but known to cause severe infections, mainly endocarditis and bacteraemia. Case description: An 86-year-old Caucasian male, with several vascular risk factors (type 2 diabetes, hypertension, dyslipidaemia, coronary heart disease and heart failure), who presented long-standing lower limb phlyctens for which he was being treated, developed lower limb cellulitis. When observed in the Emergency Department, he was septic and was admitted for treatment and surveillance. Blood cultures were positive for P. mendocina. He was treated with antibiotics and recovered, and was discharged home. Conclusion: Damage to the skin barrier as in cellulitis provides a point of entry for P. mendocina, a microorganism that lives in soil and water. The source of contamination is rarely identified, but immunocompromised people present a higher risk of infection and severe disease. The antibiotic susceptibility profile is different from the more common Pseudomonas aeruginosa, with fewer known resistances. Albeit rare, this is thought to be an underreported infection that clinicians should be aware of.https://www.ejcrim.com/index.php/EJCRIM/article/view/5094pseudomonas mendocinapseudomonascellulitissepsisbacteraemia |
| spellingShingle | Jorge Reis Francisca Carmo Inês Soares Catarina Salvado Mariana Fidalgo Pseudomonas mendocina bacteraemia secondary to cellulitis – a report and brief series of cases European Journal of Case Reports in Internal Medicine pseudomonas mendocina pseudomonas cellulitis sepsis bacteraemia |
| title | Pseudomonas mendocina bacteraemia secondary to cellulitis – a report and brief series of cases |
| title_full | Pseudomonas mendocina bacteraemia secondary to cellulitis – a report and brief series of cases |
| title_fullStr | Pseudomonas mendocina bacteraemia secondary to cellulitis – a report and brief series of cases |
| title_full_unstemmed | Pseudomonas mendocina bacteraemia secondary to cellulitis – a report and brief series of cases |
| title_short | Pseudomonas mendocina bacteraemia secondary to cellulitis – a report and brief series of cases |
| title_sort | pseudomonas mendocina bacteraemia secondary to cellulitis a report and brief series of cases |
| topic | pseudomonas mendocina pseudomonas cellulitis sepsis bacteraemia |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/5094 |
| work_keys_str_mv | AT jorgereis pseudomonasmendocinabacteraemiasecondarytocellulitisareportandbriefseriesofcases AT franciscacarmo pseudomonasmendocinabacteraemiasecondarytocellulitisareportandbriefseriesofcases AT inessoares pseudomonasmendocinabacteraemiasecondarytocellulitisareportandbriefseriesofcases AT catarinasalvado pseudomonasmendocinabacteraemiasecondarytocellulitisareportandbriefseriesofcases AT marianafidalgo pseudomonasmendocinabacteraemiasecondarytocellulitisareportandbriefseriesofcases |