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Journal of Clinical Microbiology, December 2001, p. 4588-4590, Vol. 39, No. 12
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.12.4588-4590.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

One Case Each of Recurrent Meningitis and Hemoperitoneum Infection with Ralstonia mannitolilytica

Mario Vaneechoutte,1,* Thierry De Baere,1 Georges Wauters,2 Sophia Steyaert,1 Geert Claeys,1 Dirk Vogelaers,3 and Gerda Verschraegen1

Department of Chemistry, Microbiology and Immunology1 and Department of Infectious Diseases,3 Ghent University Hospital, Ghent, and Department of Microbiology, UZ St. Luc, Brussels,2 Belgium

Received 30 July 2001/Returned for modification 21 August 2001/Accepted 1 October 2001

Two clinical cases of infection with Ralstonia mannitolilytica are described: a recurrent meningitis on an implanted intraventricular catheter and an infected hemoperitoneum as a complication of a cholangiocarcinoma. The strains were first misidentified as Pseudomonas fluorescens and Burkholderia cepacia. Further testing lead to the identification as Ralstonia pickettii biovar 3/"thomasii," which was recently shown to represent a separate species, R. mannitolilytica (List editor N. Weiss, Int. J. Syst. Evol. Microbiol. 51:795-796, 2001), originally described as R. mannitolytica (De Baere et al., Int. J. Syst. Evol. Microbiol. 51:547-558, 2001). R. mannitolilytica can be distinguished from all described Ralstonia species by its acidification of D-arabitol and mannitol and by its lack of nitrate reduction and of alkalinization of tartrate. In order to determine the true prevalence of infections with this species, colistin-resistant "P. fluorescens" strains and strains growing on B. cepacia selective medium deserve further attention.

* Corresponding author. Mailing address: Laboratory Bacteriology & Virology, Blok A, Ghent University Hospital, De Pintelaan 185, B9000 Gent, Belgium. Phone: 32 9 240 36 92. Fax: 32 9 240 36 59. E-mail: Mario.Vaneechoutte{at}rug.ac.be.

Journal of Clinical Microbiology, December 2001, p. 4588-4590, Vol. 39, No. 12
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.12.4588-4590.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.


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