Diabetic foot infection caused by bacteria of the Burkholderia cepacia complex: report of an unusual case and a scoping literature review

Authors

  • Rodrigo Cuiabano Paes Leme Hospital Unimed Volta Redonda , Departamento de Doenças Infecciosas , Volta Redonda , Rio de Janeiro , Brazil http://orcid.org/0000-0002-1222-4752
  • Jéssica Reis Esteves Chaves Hospital Unimed Volta Redonda , Laboratório de Microbiologia , Volta Redonda , Rio de Janeiro , Brazil http://orcid.org/0000-0001-8778-0940
  • Luiz Carlos Soares Gonçalves Hospital Unimed Volta Redonda , Departamento de Cirurgia Vascular, Volta Redonda , Rio de Janeiro , Brazil
  • Leonardo César Alvim Hospital Unimed Volta Redonda , Departamento de Cirurgia Vascular, Volta Redonda , Rio de Janeiro , Brazil
  • João Roberto Chaves de Almeida Hospital Unimed Volta Redonda , Departamento de Cirurgia Vascular, Volta Redonda , Rio de Janeiro , Brazil http://orcid.org/0000-0002-7526-9472
  • Leonardo da Cruz Renó Hospital Unimed Volta Redonda , Departamento de Cirurgia Vascular, Volta Redonda , Rio de Janeiro , Brazil Universidade de São Paulo , Faculdade de Medicina , São Paulo , São Paulo , Brazil http://orcid.org/0000-0003-0830-0668

DOI:

https://doi.org/10.1590/S1678-9946202264036%20

Keywords:

Burkholderia cepacia complex, Diabetic foot infection, Non-cystic fibrosis patients

Abstract

Burkholderia cepacia complex (BCC) is group of widespread gram-negative bacillus organized in over 20 phylogenetically distinct bacterial species. According to previous studies, BCC species pathogens are widely reported in patients with cystic fibrosis (CF), but not in individuals with diabetes mellitus (DM). In this case report, a 42-year-old male patient with DM and a foot infection caused by BCC is presented. The patient was hospitalized after antibiotic treatment failure and improved after two surgical debridement procedures and a high-dose extended infusion (EI) of meropenem. The team of vascular surgeons and the infectious disease specialists worked fervently to solve the case. Finally, a scoping review was conducted to map BCC infections in patients with DM.

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Published

2022-06-07

Issue

Vol. 64 (2022)

Section

Case Report

License

Copyright (c) 2022 Rodrigo Cuiabano Paes Leme, Jéssica Reis Esteves Chaves, Luiz Carlos Soares Gonçalves, Leonardo César Alvim, João Roberto Chaves de Almeida, Leonardo da Cruz Renó

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite

Leme, R. C. P. ., Chaves, J. R. E. ., Gonçalves, L. C. S. ., Alvim, L. C. ., Almeida, J. R. C. de ., & Renó, L. da C. . (2022). Diabetic foot infection caused by bacteria of the Burkholderia cepacia complex: report of an unusual case and a scoping literature review. Revista Do Instituto De Medicina Tropical De São Paulo, 64, e36. https://doi.org/10.1590/S1678-9946202264036