ABSTRACT

Ochrobactrum anthropi causes nosocomial infections in patients with immunosuppression andinsertedmedical devices. Without additional risk factors, community-acquired bacteremia and/or pneumonia due to O. anthropi is rarely reported in children. In this case report we present community-acquired bacteremia due to O. Anthropi, and the need of mechanical ventilation for severe pneumonia in a previously healthy child because of its rarity.

Previously healthy 13 month old female patient was admitted to our pediatric intensive care unit due to community-acquired pneumonia and respiratory failure. Vancomycin and ceftriaxone combination with mechanical ventilation support was started. O. anthropi was determined in blood cultures (ceftriaxone resistant). The antibiotic regimen was not modified since there was a good clinical response to the ampiric treatment, and the control blood cultures remained sterile. The patient was discharged healthy on the 13th day.

In conclusion, O. anthropi as an opportunistic bacilli can cause bacteremia and severe pneumonia in a child without predisposing factors.