Herbaspirillum seropedicae Bacteremia Secondary to Pneumonia in a Patient With Chronic Obstructive Pulmonary Disease.

ABSTRACT

Herbaspirillum seropedicae is a species of bacteria commonly found in vegetation, but in rare cases, can cause opportunistic infections in human hosts. Infections typically occur due to environmental exposure to the pathogen, such as through agriculture or gardening. However, these incidents typically only involve immunocompromised patients. Our present report describes a case of sepsis secondary to pneumonia in an adult with a history of chronic obstructive pulmonary disease who presented with complaints of shortness of breath and hypoxia. Although initially misidentified as Burkholderia cepacia, blood culture and reference lab eventually confirmed H. seropedicae bacteremia. The patient was admitted for treatment with intravenous antibiotics with significant improvement and subsequent discharge. H. seropedicae is often clinically misidentified due to its rarity. As we observe the increasing pathogenicity of H. seropedicae, clinicians must be better prepared to recognize the symptoms of its infection. Technologies such as matrix-assisted laser desorption/ionization time-of-flight mass spectrometry have proven to be useful in distinguishing H. seropedicae from other similarly presenting species.