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Volume 25, Number 8—August 2019
Research Letter

Erwinia billingiae as Unusual Cause of Septic Arthritis, France, 2017

Isabelle Bonnet, Baptiste Bozzi, Eric Fourniols, Stéphane Mitrovic, Olivia Soulier-Escrihuela, Florence Brossier1, Wladimir Sougakoff, Jérôme Robert, Stéphane Jauréguiberry, Alexandra AubryComments to Author , on behalf of the Pitié-Salpêtrière Infection Ostéo-articulaire group
Author affiliations: Assistance Publique–Hôpitaux de Paris, Hôpitaux Universitaires Pitié Salpêtrière–Charles Foix, Paris, France (I. Bonnet, B. Bozzi, E. Fourniols, S. Mitrovic, O. Soulier-Escrihuela, F. Brossier, W. Sougakoff, J. Robert, S. Jauréguiberry, A. Aubry); Sorbonne Université, Cimi-Paris, U1135, Paris (I. Bonnet, F. Brossier, W. Sougakoff, J. Robert, A. Aubry)

Main Article

Table

Case reports from the literature of infection caused by Erwinia spp.*

Patient age, y/sex Type of infection Inoculated Published (actual) species name Identification method† Antimicrobial drug; treatment duration Surgery Clinical evolution Ref
65/F
 SSTI
 Yes
 Erwinia sp.
 Biochemical
 Penicillin, then penicillin and sulfisoxazole; NA
 Yes
 Recovered
 (2)
Adult/F
 Peritoneal dialysis fluid infection
 No
 Erwinia strains of the lathyri-herbicola group
 Biochemical
 NA; NA
 No
 NA
 (3)
Adult/F
 SSTI
 Yes
 Erwinia strains of the lathyri-herbicola group
 Biochemical
 Chloramphenicol; NA
 No
 Recovered
 (3)
Adult/M
 SSTI
 Yes
 Erwinia strains of the lathyri-herbicola group
 Biochemical
 Ampicillin; NA
 No
 Recovered
 (3)
Adult/M
 SSTI
 Yes
 Erwinia strains of the lathyri-herbicola group
 Biochemical
 Penicillin; NA
 No
 Recovered
 (3)
Adult/M
 Brain abscess
 No
 Erwinia strains of the lathyri-herbicola group
 Biochemical
 NA; NA
 Yes
 NA
 (3)
17/F
 Bacteremia
 Yes
 Erwinia herbicola; (Pantoea agglomerans)
 Biochemical
 Streptomycin and penicillin; NA
 No
 Recovered
 (4)
17/M
 Bacteremia
 Yes
 E. herbicola (P. agglomerans)
 Biochemical
 Cephalothin; NA
 No
 Recovered
 (4)
28/M
 Bacteremia
 Yes
 Erwinia sp.
 Biochemical
 Ampicillin then ampicillin and kanamycin; NA
 No
 Recovered
 (4)
57/M
 Brain abscess
 No
 Erwinia sp.
 Biochemical
 Penicillin and streptomycin, then ampicillin, then chloramphenicol, then gentamicin; NA
 Yes
 Recovered
 (5)
70/M
 Endophtalmitis
 Yes
 E. herbicola (P. gglomerans)
 Biochemical
 Cefazolin and gentamicin; 37 d until surgery (NA after surgery)
 Yes
 Recovered
 (6)
66/F
 UTI
 No
 E. herbicola (P. agglomerans)
 Biochemical
 NA; NA
 No
 Died
 (7)
69/F
 UTI
 No
 E. herbicola (P. agglomerans)
 Biochemical
 NA; NA
 No
 Recovered
 (7)
62/F
 UTI
 No
 E. herbicola (P. agglomerans)
 Biochemical
 NA; NA
 No
 Recovered
 (7)
46/M
 Endocarditis
 No
 E. herbicola (P. agglomerans)
 Biochemical
 Cefotaxime and netilmicin; 6 weeks
 No
 Recovered
 (8)
79/F
 Cervical lymphadenitis
 No
 Erwinia tasmaniensis (E. tasmaniensis
 16S rRNA‡
 Ciprofloxacin; 2 weeks
 Yes
 Recovered
 (9)
40/M Dermohypodermitis Yes Erwinia billingiae (E. billingiae) NA Ciprofloxacin; 14 d No Recovered (10)

*NA, not available; ref, reference; SSTI, skin and soft tissue infection; UTI, urinary tract infection.
†Biochemical testing included Kligler iron agar (assess slant, butt, H2S production), tests for carbohydrate fermentation (adonitol, fructose, galactose, glucose, inositol, lactose, maltose, mannitol, mannose, raffinose, rhamnose, salicin, sorbitol, sucrose, xylose), ONPG (ortho-nitrophenyl-galactosidez) test, gluconate test, gelatin hydrolysis test, tests for nitrate reduction and N2 production, indole test, methyl red test, Voges–Proskauer test, casein hydrolysis test, citrate utilization test, urease test, catalase test, oxidase test, arginine dihydrolase test, lysine decarboxylase test, ornithine decarboxylase test, lipase test, amylase test, pectinase test, deoxyribonuclease test, lecithinase test, salinity tests (2.5% NaCl, 10.0% NaCl [pH 5.6]), Tetrazolium-Formazan test (TTC [triphenyl tetrazolium chloride]), cetrimide selection agar, tyrosinase test, and tests for carbohydrate assimilation (glucose, acetate, lactate, succinate).
‡E. tasmaniensis (98.9%), E. toletana (98.8%), and E. billingiae (98.1%) (EzTaxon Database, https://everipedia.org/wiki/lang_en/EzTaxon_Database).

Main Article

1Deceased.

2Group members are listed at the end of this article.

Page created: July 16, 2019
Page updated: July 16, 2019
Page reviewed: July 16, 2019
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