Chromobacterium violaceum causing disseminated soft tissue and pulmonary abscesses in a traveller returning from the Azores.

Melissa Chowdhury ORCID logo; Nathaniel Lee ORCID logo; Emmanuel Q Wey ORCID logo; (2021) Chromobacterium violaceum causing disseminated soft tissue and pulmonary abscesses in a traveller returning from the Azores. Access microbiology, 3 (8). 000251-. DOI: 10.1099/acmi.0.000251
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This case report describes a 30-year-old male patient presenting with Chromobacterium violaceum cutaneous lesions who develops a subsequent bacteraemia, complicated by soft tissue and pulmonary abscesses. C. violaceum disease is a rare infection that can manifest in a spectrum from cutaneous lesions to disseminated disease and sepsis, the latter associated with high mortality. Although in the available literature there is a recommendation for a prolonged antibiotic course, we describe effective management with a shorter course of antibiotics. This case highlights the importance of not only considering a diagnosis of C. violaceum if there has been a high risk and appropriate exposure, but to also consider the changing epidemiology of the organism due to certain geographical areas becoming warmer due to climate change.


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