C. violaceum rarely infects humans, but when it does it causes skin lesions,
sepsis, and
liver abscesses that may be fatal. The first reported case of
Chromobacterium violaceum infection in humans in literature is from Malaysia in 1927. To date, cases have been reported from Argentina, Australia, Brazil, Canada, Cuba, India, Japan, Nigeria, Singapore, Sri Lanka, Taiwan, United States and Vietnam. The most common mode of entry of the bacteria into the body is through the injured skin coming in contact with soil or water containing the bacteria. The disease usually starts as a limited infection of the skin at the point of entry of the bacteria, which progresses to necrotizing metastatic lesions, then multiple abscesses of the liver, lung, spleen, skin, lymph nodes or brain, leading to severe septicaemia, culminating in multiorgan failure which may be fatal. Other reported pathologies include chronic granulomatosis, osteomyelitis, cellulitis, diarrhoea, septic spondylitis, conjunctivitis, periorbital and ocular infection.
C. violaceum produces a number of natural antibiotics: •
Aztreonam is a monobactam antibiotic that is active against
gram-negative aerobic bacteria including
Pseudomonas aeruginosa. It is marketed as
Azactam. • Violacein is active against
amoebae and
trypanosomes; • Aerocyanidine is active against
Gram-positive organisms; • Aerocavin is active against Gram-positive and
Gram-negative organisms. It has been described as a cause of infection in gibbons. ==Treatment==