Johns Hopkins ABX Guide
Elizabethkingia
Elizabethkingia is a topic covered in the Johns Hopkins ABX Guide.
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MICROBIOLOGY
- Elizabethkingia meningoseptica, non-fermenting Gram-negative bacillus. Main organism described as human pathogen in this class.
- Previously known as Chryseobacterium meningosepticum, and prior to this, Flavobacterium meningosepticum.
- Hardy organism found in water, soil--ubiquitous in hospital environments.
- Positive findings for catalase, oxidase and indole. Growth is better at 40°C.
- May be confused with Burkholderia cepacia, Aeromonas salmonicida or Sphingobacterium spp.
- Multi-drug resistance the norm including carbapenems:
- Class A extended-spectrum β-lactamases and Metallo-β-lactamases, BlaB (subclass B1) and GOB (subclass B3) described.
- Class A extended-spectrum β-lactamases and Metallo-β-lactamases, BlaB (subclass B1) and GOB (subclass B3) described.
- E. miricola: usually multi-drug resistant.
- E. anophelis: typically identified through MALDI-TOF.
- Outbreak (2015-2016) in Wisconsin and Michigan.
- May be less drug resistant than E. meningoseptica.
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MICROBIOLOGY
- Elizabethkingia meningoseptica, non-fermenting Gram-negative bacillus. Main organism described as human pathogen in this class.
- Previously known as Chryseobacterium meningosepticum, and prior to this, Flavobacterium meningosepticum.
- Hardy organism found in water, soil--ubiquitous in hospital environments.
- Positive findings for catalase, oxidase and indole. Growth is better at 40°C.
- May be confused with Burkholderia cepacia, Aeromonas salmonicida or Sphingobacterium spp.
- Multi-drug resistance the norm including carbapenems:
- Class A extended-spectrum β-lactamases and Metallo-β-lactamases, BlaB (subclass B1) and GOB (subclass B3) described.
- Class A extended-spectrum β-lactamases and Metallo-β-lactamases, BlaB (subclass B1) and GOB (subclass B3) described.
- E. miricola: usually multi-drug resistant.
- E. anophelis: typically identified through MALDI-TOF.
- Outbreak (2015-2016) in Wisconsin and Michigan.
- May be less drug resistant than E. meningoseptica.
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Last updated: April 6, 2017
Citation
Auwaerter, Paul G. "Elizabethkingia." Johns Hopkins ABX Guide, The Johns Hopkins University, 2017. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia.
Auwaerter PG. Elizabethkingia. Johns Hopkins ABX Guide. The Johns Hopkins University; 2017. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia. Accessed January 22, 2020.
Auwaerter, P. G. (2017). Elizabethkingia. In Johns Hopkins ABX Guide. Available from https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia
Auwaerter PG. Elizabethkingia [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2017. [cited 2020 January 22]. Available from: https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Elizabethkingia
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A1 - Auwaerter,Paul,M.D.
Y1 - 2017/04/06/
BT - Johns Hopkins ABX Guide
UR - https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia
PB - The Johns Hopkins University
DB - Pediatrics Central
DP - Unbound Medicine
ER -