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Journal of Clinical Microbiology, April 2004, p. 1840-1842, Vol. 42, No. 4
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.4.1840-1842.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Problems in Identification of Francisella philomiragia Associated with Fatal Bacteremia in a Patient with Chronic Granulomatous Disease

A. Friis-Møller,1* L. E. Lemming,2 N. H. Valerius,3 and B. Bruun2,4

Departments of Clinical Microbiology,1 Pediatrics, Hvidovre Hospital, Hvidovre,4 Department of Clinical Microbiology, Statens Serum Institut,2 Department of Clinical Microbiology, Hillerød Hospital, Hillerød, Denmark3

Received 25 July 2003/ Returned for modification 28 August 2003/ Accepted 6 January 2004

Francisella philomiragia is a rare gram-negative, halophilic coccobacillus with bizarre spherical forms on primary isolation. A case of F. philomiragia bacteremia in a 24-year-old patient with chronic granulomatous disease is reported. Identification of F. philomiragia was problematic with conventional tests but was done correctly and rapidly by kit 16S ribosomal DNA sequencing.


* Corresponding author. Mailing address: Department of Clinical Microbiology, Hvidovre Hospital, Hvidovre, Denmark. Phone: 45 3632 2411. Fax: 45 3632 3357. E-mail: alice.friis-moeller{at}hh.hosp.dk.


Journal of Clinical Microbiology, April 2004, p. 1840-1842, Vol. 42, No. 4
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.4.1840-1842.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.