Urinary Tract Infection in a Renal Transplant Patient by Myroides Species: A Case Report from Pakistan

Abstract

Myroides species are mostly considered to have low pathogenic potential causing infections in immuno-compromised patients; though, few cases of urinary tract infections (UTIs), bacteremia, pneumonia, endocarditis, ventriculitis, skin, and soft tissue infections have been reported. The two most common species associated with human infections are M. odoratus and M. odoratimimus. Due to the multi-drug resistant nature of this bacteria, prompt identification and antibiotic susceptibility testing in the laboratory are of paramount importance in order to direct the clinician towards an appropriate antibiotic treatment. A 32-year male diabetic patient, on immunosuppressants and post renal transplant, presented with UTI. This is the first reported case of a clinically significant infection caused by Myroides species from Pakistan. The patient in this case responded favorably to treatment by oral minocycline and was treated successfully.