Parvimonas micra bacteremia following endoscopic retrograde cholangiopancreatography: A new route of infection

Anaerobe. 2018 Dec:54:136-139. doi: 10.1016/j.anaerobe.2018.09.003. Epub 2018 Sep 11.

Abstract

Parvimonas micra is an anaerobic, Gram-positive coccus belonging to oral, gastrointestinal and genital flora, rarely causing infections in humans. It was mainly deemed to cause bacteremia, septic bone and cerebral infections in patients which have undergone dental procedures or with suboptimal dental hygiene. We report the first case of Parvimonas micra bacteremia following endoscopic retrograde colangiopancreatography performed due to choledocholithiasis in a patient with good oral health. Identification of P. micra was finally performed by Matrix-assisted laser desorption ionization-time of flight mass spectrometry (VITEK MS system, bioMérieux, Marcy l'Étoile, France). All cases reported in english language of Parvimonas micra infections after medical procedure are reviewed in order to alert clinicians about new possible routes of infection of this emerging pathogen.

Keywords: Anaerobe; Bacteraemia; Endoscopic retrograd colangiopancreatography; Gram-positive coccus; Parvimonas micra; Peptostreptococcus micros.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Bacteremia / etiology
  • Bacteremia / microbiology*
  • Cholangiopancreatography, Endoscopic Retrograde / adverse effects*
  • Firmicutes / genetics
  • Firmicutes / isolation & purification
  • Firmicutes / physiology*
  • France
  • Humans
  • Male
  • Postoperative Complications / etiology
  • Postoperative Complications / microbiology*
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization