Johns Hopkins ABX Guide
Elizabethkingia
Elizabethkingia is a topic covered in the Johns Hopkins ABX Guide.
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MICROBIOLOGY
- Elizabethkingia meningoseptica, non-fermenting Gram-negative bacillus. Main organism described as a human pathogen in this class.
- Previously known as Chryseobacterium meningosepticum, and prior to this, Flavobacterium meningosepticum.
- Hardy organisms found in water, soil--ubiquitous in hospital environments.
- Positive findings for catalase, oxidase and indole. Growth is better at 40°C.
- May be confused with Burkholderia cepacia, Aeromonas salmonicida or Sphingobacterium spp.
- Multi-drug resistance the norm including carbapenems:
- Class A extended-spectrum β-lactamases and Metallo-β-lactamases, BlaB (subclass B1) and GOB (subclass B3) described.
- Class A extended-spectrum β-lactamases and Metallo-β-lactamases, BlaB (subclass B1) and GOB (subclass B3) described.
- E. miricola: usually multi-drug resistant.
- E. anophelis: typically identified through MALDI-TOF.
- Outbreak (2015-2016) in Wisconsin and Michigan.
- Appears to be less drug-resistant than E. meningoseptica.
- Three other species proposed as additions: E. bruuniana, E. ursingii, and E. occulta.
-- To view the remaining sections of this topic, please log in or purchase a subscription --
MICROBIOLOGY
- Elizabethkingia meningoseptica, non-fermenting Gram-negative bacillus. Main organism described as a human pathogen in this class.
- Previously known as Chryseobacterium meningosepticum, and prior to this, Flavobacterium meningosepticum.
- Hardy organisms found in water, soil--ubiquitous in hospital environments.
- Positive findings for catalase, oxidase and indole. Growth is better at 40°C.
- May be confused with Burkholderia cepacia, Aeromonas salmonicida or Sphingobacterium spp.
- Multi-drug resistance the norm including carbapenems:
- Class A extended-spectrum β-lactamases and Metallo-β-lactamases, BlaB (subclass B1) and GOB (subclass B3) described.
- Class A extended-spectrum β-lactamases and Metallo-β-lactamases, BlaB (subclass B1) and GOB (subclass B3) described.
- E. miricola: usually multi-drug resistant.
- E. anophelis: typically identified through MALDI-TOF.
- Outbreak (2015-2016) in Wisconsin and Michigan.
- Appears to be less drug-resistant than E. meningoseptica.
- Three other species proposed as additions: E. bruuniana, E. ursingii, and E. occulta.
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Last updated: September 5, 2020
Citation
Auwaerter, Paul G. "Elizabethkingia." Johns Hopkins ABX Guide, The Johns Hopkins University, 2020. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia.
Auwaerter PG. Elizabethkingia. Johns Hopkins ABX Guide. The Johns Hopkins University; 2020. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia. Accessed March 23, 2023.
Auwaerter, P. G. (2020). Elizabethkingia. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia
Auwaerter PG. Elizabethkingia [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2020. [cited 2023 March 23]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540666/all/Elizabethkingia.
* Article titles in AMA citation format should be in sentence-case
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T1 - Elizabethkingia
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PB - The Johns Hopkins University
DB - Johns Hopkins Guides
DP - Unbound Medicine
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