Burkholderia cepacia Clinical Presentation

Updated: Oct 25, 2018
  • Author: Syed Faisal Mahmood, MBBS; Chief Editor: Michael Stuart Bronze, MD  more...
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Presentation

History

A history of the use of irrigant solutions that may have contained B cepacia is epidemiologically important.

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Physical

Physical examination is referable to the organ system involved.

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Causes

B cepacia is a nonfermentative, aerobic, gram-negative bacillus formerly classified as Pseudomonas. Unlike Pseudomonas aeruginosa, B cepacia is an organism of low virulence with a limited ability to cause infection in humans.

B cepacia survives and multiplies in aqueous hospital environments, where it may persist for long periods. [4]

Sources of B cepacia colonization include the following:

  • Personnel - Hands, antiseptic soaps, hand lotion [5]

  • Respiratory equipment and/or fluids - Respirator tubing condensate, ultrasonic nebulizers, inhalation medications

  • Intravenous lines and/or fluids - Intravenous solutions, central venous catheters

  • Pressure-monitoring devices - Pressure transducer fluids

  • Urine and/or fluids - Indwelling Foley catheters, urometers, irrigation solutions

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Complications

Because B cepacia is normally a colonizer, no complications are expected.

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