Evidence map›Paper›PMID 25216687›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015

Cluster and sporadic cases of herbaspirillum species infections in patients with cancer.

Roy F Chemaly, Raymund Dantes, Dimpy P Shah, Pankil K Shah, Neil Pascoe, Ella Ariza-Heredia, Cheryl Perego, Duc B Nguyen, Kim Nguyen, Farhad Modarai and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 37 citations in OpenAlex.

  1. Cluster ofIJID regions · 2026
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  3. A case report ofASM case reports · 2025
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  5. Opportunistic pathogeniScience · 2024
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  10. Bloodstream infection due to Herbaspirillum sp.: case series and review of literature.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Review
  11. Article
  12. Case reports in infectious diseases · 2020
    Article
  13. Article
  14. Septicemia Caused byAnnals of laboratory medicine · 2019
    Article
  15. Herbaspirillum huttiense pneumonia in a patient with essential thrombocythaemia.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2019
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 1 country.

Roy F ChemalyDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston.
Raymund DantesEpidemic Intelligence Service, Scientific Education and Professional Development Program Office Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Dimpy P ShahDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston.
Pankil K ShahThe University of Texas School of Public Health, Houston.
Neil PascoeTexas Department of State Health Services, Austin.
Ella Ariza-HerediaDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston.
Cheryl PeregoDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston.
Duc B NguyenEpidemic Intelligence Service, Scientific Education and Professional Development Program Office Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kim NguyenDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston.
Farhad ModaraiDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Heather Moulton-MeissnerDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Judith Noble-WangDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Jeffrey J TarrandDepartment of Laboratory Medicine, The University of Texas MD Anderson Cancer Center, Houston.
John J LiPumaDepartment of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor.
Alice Y GuhDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Tara MacCannellDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Issam RaadDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston.
Victor MulanovichDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston.
The University of Texas MD Anderson Cancer Center · USCenters for Disease Control and Prevention · USEpidemic Intelligence Service · USTexas Department of State Health Services · USThe University of Texas Health Science Center at Houston · USUniversity of Michigan–Ann Arbor · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS CA016672NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundHerbaspirillum species are gram-negative Betaproteobacteria that inhabit the rhizosphere. We investigated a potential cluster of hospital-based Herbaspirillum species infections.

methodsCases were defined as Herbaspirillum species isolated from a patient in our comprehensive cancer center between 1 January 2006 and 15 October 2013. Case finding was performed by reviewing isolates initially identified as Burkholderia cepacia susceptible to all antibiotics tested, and 16S ribosomal DNA sequencing of available isolates to confirm their identity. Pulsed-field gel electrophoresis (PFGE) was performed to test genetic relatedness. Facility observations, infection prevention assessments, and environmental sampling were performed to investigate potential sources of Herbaspirillum species.

resultsEight cases of Herbaspirillum species were identified. Isolates from the first 5 clustered cases were initially misidentified as B. cepacia, and available isolates from 4 of these cases were indistinguishable. The 3 subsequent cases were identified by prospective surveillance and had different PFGE patterns. All but 1 case-patient had bloodstream infections, and 6 presented with sepsis. Underlying diagnoses included solid tumors (3), leukemia (3), lymphoma (1), and aplastic anemia (1). Herbaspirillum species infections were hospital-onset in 5 patients and community-onset in 3. All symptomatic patients were treated with intravenous antibiotics, and their infections resolved. No environmental source or common mechanism of acquisition was identified.

conclusionsThis is the first report of a hospital-based cluster of Herbaspirillum species infections. Herbaspirillum species are capable of causing bacteremia and sepsis in immunocompromised patients. Herbaspirillum species can be misidentified as Burkholderia cepacia by commercially available microbial identification systems.

Indexed as

AdolescentAgedBetaproteobacteriaBurkholderia cepaciaChild, PreschoolCluster AnalysisCross InfectionDNA, BacterialDNA, RibosomalElectrophoresis, Gel, Pulsed-FieldFemaleGenotypeGram-Negative Bacterial InfectionsHerbaspirillumHumansMaleDNA, BacterialDNA, RibosomalRNA, Ribosomal, 16ScancerHerbaspirillumimmunocompromisedmisdiagnosisoutbreak

Identifiers

PMID25216687
PMCPMC4318942
OpenAlexW2168123012

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.