Neonatology & Perinatology

Biography

Biography: Dhruv Mamtora

Abstract

Bacteremia in pediatric oncology is associated with high morbidity and mortality. Its etiology is diverse and timely treatment can improve outcomes. Septicemia is one of the most common causes of death in pediatric age group where the febrile illnesses go unnoticed. Many times cultures are sent when there is fever and it does grow some of the rare organisms. It is clinician’s dilemma as to understand whether appropriate antibiotic therapy needs to be administered or not. We describe a rare case report of Roseomonas gilardii bacteremia in pediatric oncology in a febrile, neutropenic patient on chemotherapy from oncology unit. The patient responded well to treatment given and was cured of it. Genus Roseomonas has been recently established and hence the clinical experience caused by the organism is limited. Though the organism has low pathogenic potential, some species may cause fatal illness in immune-compromised hosts like those with septicemia, bacteremia, leukemia, cancer chemotherapy and dialysis. The case reports of this organism causing bacteraemia are rare from Indian subcontinent. Potential clinical significance of pink pigmented, gram negative coccoid, oxidase – positive microorganisms should be known to clinicians, particularly when isolated from blood of patients with immune-compromised condition. Also important is case based discussion between oncologist and microbiologist and timely treatment based on antibiotic susceptibility.