Hospital-acquired Brevundimonas vesicularis septicaemia following open-heart surgery: Case report and literature review

Brevundimonas vesicularis (B. vesicularis) is a pseudomonad rarely encounte red in human infection. A case of nosocomial septicaemia with this organism following open-heart surgery is presented, with a review of the literature . The isolate demonstrated resistance to ciprofloxacin and aztreonam. which has not yet been reported. Treatment with piperacillin/tazobactam resulted in full recovery. A review of the literature reveals that B. vesicularis i s a virulent organism involved in serious infections such as central seriou s system infection or bacteraemia, some of which are nosocomial, Meanwhile. empiric therapy for B. vesicularis infection should include a broad-spectr um antimicrobial agent until susceptibility results are known.