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Pandoraea pnomenusa Superinfection in a Patient with SARS-CoV-2 Pneumonia: First Case in the Literature. Infect Dis Rep 2022; 14:205-212. [PMID: 35314655 PMCID: PMC8938804 DOI: 10.3390/idr14020025] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 03/13/2022] [Accepted: 03/14/2022] [Indexed: 12/12/2022] Open
Abstract
Pandoraea pnomenusa is a Gram-negative bacterium of the Pandoraea genus and is mainly associated with the colonization of structurally abnormal airways. During the COVID-19 pandemic, many microorganisms have been associated with coinfection and superinfection in SARS-CoV-2 pneumonia, but so far, no coinfection or superinfection by P. pnomenusa has been reported. We present the first case describing this association in a previously healthy patient. Clinical manifestations, treatment, and outcomes are shown.
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Peyclit L, Baron SA, Reynaud-Gaubert M, Cassir N, Rolain JM. Fatal Pandoraea nosoerga infection after combined liver-lung transplantation for cystic fibrosis: a recontamination by the pre-transplantation strain. Eur J Clin Microbiol Infect Dis 2021; 40:2403-2406. [PMID: 33830365 DOI: 10.1007/s10096-021-04235-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 03/21/2021] [Indexed: 10/21/2022]
Abstract
A 26-year-old girl with a longstanding colonization by Pandoraea nosoerga underwent liver-lung transplantation for cystic fibrosis (CF) in 2018. Her brother also suffering from CF was also colonized by P. nosoerga. Despite appropriate perioperative antibiotic therapy, she had post-transplant bacteremic pneumonia caused by extensively drug-resistant P. nosoerga. Drug repurposing was used to optimize treatment options. The cause of post-transplant contamination was studied by comparative whole-genome sequencing including pre- and post-transplant strains and her brother's strains. Post-transplant contamination appeared to be due to her own pre-transplant strain, emphasizing the urgent need to study and implement effective decontamination protocols before transplantation.
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Affiliation(s)
- Lucie Peyclit
- IRD, APHM, MEPHI, IHU-Méditerranée Infection, Aix Marseille Univ, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France.,IHU-Méditerranée Infection, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France
| | - Sophie Alexandra Baron
- IRD, APHM, MEPHI, IHU-Méditerranée Infection, Aix Marseille Univ, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France.,IHU-Méditerranée Infection, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France
| | - Martine Reynaud-Gaubert
- IRD, APHM, MEPHI, IHU-Méditerranée Infection, Aix Marseille Univ, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France.,IHU-Méditerranée Infection, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France.,Equipe de Transplantation Pulmonaire, CRCM- Soins en Mucoviscidose Adulte, APHM- CHU Nord, Chemin des Bourrely, 13915, Marseille Cedex 20, France
| | - Nadim Cassir
- IRD, APHM, MEPHI, IHU-Méditerranée Infection, Aix Marseille Univ, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France.,IHU-Méditerranée Infection, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France.,Equipe de Transplantation Pulmonaire, CRCM- Soins en Mucoviscidose Adulte, APHM- CHU Nord, Chemin des Bourrely, 13915, Marseille Cedex 20, France
| | - Jean-Marc Rolain
- IRD, APHM, MEPHI, IHU-Méditerranée Infection, Aix Marseille Univ, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France. .,IHU-Méditerranée Infection, 19-21 boulevard Jean Moulin, 13385, Marseille CEDEX 05, France.
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