TY - JOUR AU - Ramos Oliveira, Susana AU - Costa Monteiro, Isabel AU - Rodrigues, Cristina AU - Soares, Maria João PY - 2022/05/23 Y2 - 2024/03/28 TI - Fever in a Patient with a Central Venous Catheter Colonized by Pandoraea pnomenusa JF - Acta Médica Portuguesa JA - Acta Med Port VL - 36 IS - 2 SE - Case Report DO - 10.20344/amp.16176 UR - https://actamedicaportuguesa.com/revista/index.php/amp/article/view/16176 SP - 127-130 AB - <p><em>Pandoraea</em> species are a newly described genus of multidrug-resistant, non-fermentative Gram-negative bacilli, mainly isolated from sputum samples of cystic fibrosis patients. In immunocompromised patients or with high antibiotic selective pressure, these pathogens are generally opportunistic and invasive. Although <em>Pandoraea</em> spp. are rare, the true incidence of these infections may be underestimated due to difficulties in microbial identification by phenotypic methods. We present the case of a 51-year-old woman, with new-onset fever after a prolonged hospitalization and multiple courses of antibiotics. Mass spectrometry assays identified <em>Pandoraea pnomenusa</em> in the blood cultures taken from the central venous catheter and in the catheter tip. Fever cessation after catheter removal suggests a catheter-related bloodstream infection. To the best of our knowledge, this is the first isolation of a <em>Pandoraea</em> spp. in Portugal, which should raise awareness to the emergence of these opportunistic and multidrug-resistant microorganisms, and the importance of its prompt identification.</p> ER -