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Rhizobium Radiobacter Infection in a 27-Year-Old African American Woman With Munchausen Syndrome.
Lab Med 2016; 47(3):e32-4LM

Abstract

Rhizobium radiobacter is an opportunistic, usually saprophytic, gram-negative bacillus found in agricultural soil. Isolation from blood has been reported most often in hospitalized patients harboring malignant neoplasms or human immunodeficiency virus (HIV) associated immunosuppression, who have catheter or medical device-related febrile neutropenia; treatment involves removal of the catheter or implanted medical device.(1)Herein, we report a case of a 27-year-old African American woman with sickle cell anemia who sought treatment of generalized body pain, shaking, chills, dyspnea, and fever, suggestive of sickle cell crisis. As part of her work up, routine blood cultures were drawn, revealing the presence of a Gram negative bacillus that was identified as the nonfermenter bacillus R. radiobacter The patient displayed a unique infection with R. radiobacter sepsis in a patient secondary to self-injection of organic material into a peripheral line during hospitalization. The growth of an unusual organism in the blood of a patient, without the usual risk factors of R. radiobacter, raised suspicion of a factitious psychiatric disorder known as Munchausen syndrome, which was confirmed when we discovered self-injection of feces and dirt into a central intravenous (IV) line.

Authors+Show Affiliations

Department of Pathology sam.sawhney@gmail.com.Department of Pathology.Department of Hematology, Howard University Hospital, Washington, DC.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27107290

Citation

Sawhney, Sameer, et al. "Rhizobium Radiobacter Infection in a 27-Year-Old African American Woman With Munchausen Syndrome." Laboratory Medicine, vol. 47, no. 3, 2016, pp. e32-4.
Sawhney S, Naab T, Oneal P. Rhizobium Radiobacter Infection in a 27-Year-Old African American Woman With Munchausen Syndrome. Lab Med. 2016;47(3):e32-4.
Sawhney, S., Naab, T., & Oneal, P. (2016). Rhizobium Radiobacter Infection in a 27-Year-Old African American Woman With Munchausen Syndrome. Laboratory Medicine, 47(3), pp. e32-4. doi:10.1093/labmed/lmw019.
Sawhney S, Naab T, Oneal P. Rhizobium Radiobacter Infection in a 27-Year-Old African American Woman With Munchausen Syndrome. Lab Med. 2016;47(3):e32-4. PubMed PMID: 27107290.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rhizobium Radiobacter Infection in a 27-Year-Old African American Woman With Munchausen Syndrome. AU - Sawhney,Sameer, AU - Naab,Tammey, AU - Oneal,Partricia, Y1 - 2016/04/22/ PY - 2016/4/24/entrez PY - 2016/4/24/pubmed PY - 2018/1/26/medline KW - Munchausen syndrome KW - hematology KW - infectious disease KW - microbiology KW - pathology KW - psychiatry SP - e32 EP - 4 JF - Laboratory medicine JO - Lab Med VL - 47 IS - 3 N2 - Rhizobium radiobacter is an opportunistic, usually saprophytic, gram-negative bacillus found in agricultural soil. Isolation from blood has been reported most often in hospitalized patients harboring malignant neoplasms or human immunodeficiency virus (HIV) associated immunosuppression, who have catheter or medical device-related febrile neutropenia; treatment involves removal of the catheter or implanted medical device.(1)Herein, we report a case of a 27-year-old African American woman with sickle cell anemia who sought treatment of generalized body pain, shaking, chills, dyspnea, and fever, suggestive of sickle cell crisis. As part of her work up, routine blood cultures were drawn, revealing the presence of a Gram negative bacillus that was identified as the nonfermenter bacillus R. radiobacter The patient displayed a unique infection with R. radiobacter sepsis in a patient secondary to self-injection of organic material into a peripheral line during hospitalization. The growth of an unusual organism in the blood of a patient, without the usual risk factors of R. radiobacter, raised suspicion of a factitious psychiatric disorder known as Munchausen syndrome, which was confirmed when we discovered self-injection of feces and dirt into a central intravenous (IV) line. SN - 1943-7730 UR - https://www.unboundmedicine.com/medline/citation/27107290/Rhizobium_Radiobacter_Infection_in_a_27_Year_Old_African_American_Woman_With_Munchausen_Syndrome_ L2 - https://academic.oup.com/labmed/article-lookup/doi/10.1093/labmed/lmw019 DB - PRIME DP - Unbound Medicine ER -