(A) Grayish, glistening mucoid colonies of M. timonae on blood agar. (B) Gram stain revealed abundant gram-negative straight rods.

(A) Grayish, glistening mucoid colonies of M. timonae on blood agar. (B) Gram stain revealed abundant gram-negative straight rods.

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Massilia timonae infections in humans have rarely been reported. To the best of our knowledge, M. timonae has not been previously recognized as a causative agent of obstetric or gynecological infections. Timely identification of this unusual pathogen and the use of targeted antimicrobial therapy are crucial to avoid consequences and treatment failu...

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... / L (4-11.0), CRP 251 (0-5 mg/L), Procalcitonin 6 µg/L (< 0.05), and 2.4 × 1.3 cm remnant or blood clots were seen ultrasonography within the uterine cavity (Fig. 1). Therefore, piperacillin/tazobactam was started empirically and 2 days later, non-fermentative gram-negative bacilli grew from four bottles of blood culture and a high vaginal swab ( Fig. 2A and 2B). Subsequently, MALDI (TOF-MS, Billerica, MA, USA) identified the organism as Massilia timonae. The fever resolved quickly, and the antimicrobial was switched to ciprofloxacin according to sensitivity (Table 1). Follow-up US of the pelvis showed no evidence of previously reported remnants; thus, ciprofloxacin was continued for 14 days ...

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