Roseomonas gilardii is a Gram-negative slow growing coccobacillus that has been recognized as an opportunistic pathogen which can lead to infections, especially in immunocompromised and chronically ill patients. The organism is generally susceptible to carbapenems and aminoglycosides, but resistant to most of the cephalosporins. We report what we believe is the first case of a 72-year-old oncologic woman who developed a pericarditis caused by R. gilardii in Italy.
KorvickJARihsJDGilardiGLYuVL. A pink-pigmented, oxidative nonmotile bacterium as a cause of opportunistic infections. Arch Intern Med1989; 149:1449–51.
2.
SteinbergJPDel RioC. Other Gram negative and Gram variable bacilli. In Principles and Practice of Infectious Diseases. Ed MandellGLBennettJEDolinR. Philadelphia, PA: Churchill Livingstone, 2005; p. 2751–68.
3.
RihsJDBrennerDJWeaverRESteigerwaltAGHollisDGYuVL. Roseomonas, a new genus associated with bacteremia and other human infections. J Clin Microbiol1993; 31:3275–83.
4.
HanXYPhamASTarrandJJRolstonKVHelselLOLevettPN. Bacteriologic characterization of 36 strains of Roseomonas species and proposal of Roseomonas mucosa sp nov and Roseomonas gilardii subsp rosea subsp nov. Am J Clin Pathol2003; 120:256–64.
5.
ShokarNKShokarGSIslamJCassAR. Roseomonas gilardii infection: Case report and review. J Clin Microbiol2002; 40:4789–91.
6.
SandoeJATMalnickHLoudonKW. A case of peritonitis caused by Roseomonas gilardii in a patient undergoing continuous ambulatory peritoneal dialysis. J Clin Microbiol1997; 35:2150–52.
7.
MarinMEDel PontJMDibarECaniggiaL FernandezGrecoGFloresYAscioneA. Catheter-related bacteremia caused by Roseomonas gilardii in an immunocompromised patient. Int J Infect Dis2001; 5:170–71.
8.
ChristakisGBPerlorentzouSAlexakiPMegalakakiAZarkadisIK. Central line-related bacteraemia due to Roseomonas mucosa in a neutropenic patient with acute myeloid leukaemia in Piraeus, Greece. J Med Microbiol2006; 55:1153–56.
9.
LewisLStockSFWilliamsDWeirSGillVJ. Infections with Roseomonas gilardii and review of characteristics used for biochemical identification and molecular typing. Am J Clin Pathol1997; 108:210–16.
10.
StruthersMWongJJandaJM. An initial appraise of the clinical significance of Roseomonas species associated with human infections. Clin Infect Dis1996; 23:729–33.
11.
DéIRolstonKVHanXY. Clinical significance of Roseomonas species isolated from catheter and blood samples: Analysis of 36 cases in patients with cancer. Clin Infect Dis2004, 38:1579–84.
12.
NahassRGWineskiRHermanDJHirshEGoldblattK. Vertebral osteomyelitis due to Roseomonas species: Case report and review of the evaluation of vertebral osteomyelitis. Clin Infect Dis1995; 21:1474–76.