Microbiology
Ralstonia paucula, Ralstonia eutropha, Ralstonia insidiosa, Ralstonia mannitolilytica, Ralstonia pickettii, Ralstonia pseudosolanacearum, Ralstonia solanacearum, Ralstonia syzygii.
A gram-negative rod.
Epidemiologic Risks
Various nosocomial infections and CF patients (PubMed). Some species are plant pathogens. Found in water and dirt.
Syndromes
A hodgepodge of human infections. "Seventy cases of R. pickettii, 13 cases of R. mannitolilytica and three cases of R. insidiosa infection have been identified from the literature (PubMed)(PubMed)."
Treatment
Perhaps tmp/sulfa and quinolones (PubMed). Then maybe cefepime or meropenem (PubMed).
Notes
Ralstonia has been found in the milk of water deer, reindeer, and goats.
Ralstonia Purina is in pet food.
"Bacteria called Ralstonia solanacearum attack almost 200 plant species in 33 different plant families. This constitutes one of the largest known host ranges for any plant pathogenic bacterium (PubMed)."
Curious Cases
Relevant links to my Medscape blog
I ain't never heard of that bug before, no how.
Last Update: 04/05/18.