1887

Abstract

, a yellow-pigmented, aerobic, glucose non-fermenting, Gram-negative bacillus, is a rare cause of human infection normally associated with immunocompromised hosts. We report a case of bacteraemia and septic arthritis in a 47-year-old diabetic man who presented with septic pulmonary emboli due to . The patient had an initial presentation of fever, right knee pain, coughing, dyspnoea and chest pain. The infection was treated successfully by surgical debridement combined with meropenem plus ciprofloxacin, based on the patient's antibiotic susceptibility profile. To our knowledge, this is the first case report for septic pulmonary emboli having arisen from an infection.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.009985-0
2009-09-01
2019-11-18
Loading full text...

Full text loading...

/deliver/fulltext/jmm/58/9/1259.html?itemId=/content/journal/jmm/10.1099/jmm.0.009985-0&mimeType=html&fmt=ahah

References

  1. Al-Anazi, K. A., Abu Jafar, S., Al-Jasser, A. M., Al-Shangeeti, A., Chaudri, N. A., Al Jurf, M. D. & Al-Mohareb, F. I. ( 2008; ). Septic shock caused by Sphingomonas paucimobilis bacteremia in a patient with hematopoietic stem cell transplantation. Transpl Infect Dis 10, 142–144.[CrossRef]
    [Google Scholar]
  2. Araújo, O., Vidal, F., Tapiol, J. & Richart, C. ( 2000; ). Osteomyelitis caused by Sphingomonas paucimobilis. Enferm Infecc Microbiol Clin 18, 247
    [Google Scholar]
  3. Calubiran, O. V., Schoch, P. E. & Cunha, B. A. ( 1990; ). Pseudomonas paucimobilis bacteremia associated with haemodialysis. J Hosp Infect 15, 383–388.[CrossRef]
    [Google Scholar]
  4. Casadevall, A., Freundlich, L. F. & Pirofski, L. ( 1992; ). Septic shock caused by Pseudomonas paucimobilis. Clin Infect Dis 14, 784
    [Google Scholar]
  5. Charity, R. M. & Foukas, A. F. ( 2005; ). Osteomyelitis and secondary septic arthritis caused by Sphingomonas paucimobilis. Infection 33, 93–95.[CrossRef]
    [Google Scholar]
  6. Cook, R. J., Ashton, R. W., Aughenbaugn, G. L. & Ryu, J. H. ( 2005; ). Septic pulmonary embolism: presenting features and clinical course of 14 patients. Chest 128, 162–166.[CrossRef]
    [Google Scholar]
  7. Decker, C. F., Hawkins, R. E. & Simon, G. L. ( 1992; ). Infections with Pseudomonas paucimobilis. Clin Infect Dis 14, 783–784.[CrossRef]
    [Google Scholar]
  8. Dervisoglu, E., Meric, M., Kalender, B. & Sengul, E. ( 2008; ). Sphingomonas paucimobilis peritonitis: a case report and literature review. Perit Dial Int 28, 547–550.
    [Google Scholar]
  9. Gordon, T. P., Reid, C., Rozenbilds, M. A. & Ahern, M. ( 1986; ). Crystal shedding in septic arthritis: case reports and in vivo evidence in an animal model. Aust N Z J Med 16, 336–340.[CrossRef]
    [Google Scholar]
  10. Gupta, M. N., Sturrock, R. D. & Field, M. ( 2003; ). Prospective comparative study of patients with culture proven and high suspicion of adult onset septic arthritis. Ann Rheum Dis 62, 327–331.[CrossRef]
    [Google Scholar]
  11. Hajiroussou, V., Holmes, B., Bullas, J. & Pinning, C. A. ( 1979; ). Meningitis caused by Pseudomonas paucimobilis. J Clin Pathol 32, 953–955.[CrossRef]
    [Google Scholar]
  12. Hsueh, P. R., Teng, L. J., Yang, P. C., Chen, Y. C., Pan, H. J., Ho, S. W. & Luh, K. T. ( 1998; ). Nosocomial infections caused by Sphingomonas paucimobilis: clinical features and microbiological characteristics. Clin Infect Dis 26, 676–681.[CrossRef]
    [Google Scholar]
  13. Kawasaki, S., Moriguchi, R., Sekiya, K., Nakai, T., Ono, E., Kume, K. & Kawahara, K. ( 1994; ). The cell envelope structure of the lipopolysaccharide-lacking gram-negative bacterium Sphingomonas paucimobilis. J Bacteriol 176, 284–290.
    [Google Scholar]
  14. Kilic, A., Senses, Z., Kurekci, A. E., Aydogan, H., Sener, K., Kismet, E. & Basustaoglu, A. C. ( 2007; ). Nosocomial outbreak of Sphingomonas paucimobilis bacteremia in a hemato/oncology unit. Jpn J Infect Dis 60, 394–396.
    [Google Scholar]
  15. Lee, S. J., Cha, S. I., Kim, C. H., Park, J. Y., Jung, T. H., Jeon, K. N. & Kim, G. W. ( 2007; ). Septic pulmonary embolism in Korea: microbiology, clinicoradiologic features, and treatment outcome. J Infect 54, 230–234.[CrossRef]
    [Google Scholar]
  16. Morrison, A. J., Jr & Shulman, J. A. ( 1986; ). Community-acquired bloodstream infection caused by Pseudomonas paucimobilis: case report and review of the literature. J Clin Microbiol 24, 853–855.
    [Google Scholar]
  17. Perola, O., Nousiainen, T., Suomalainen, S., Aukee, S., Kärkkäinen, U. M., Kauppinen, J., Ojanen, T. & Katila, M. L. ( 2002; ). Recurrent Sphingomonas paucimobilis bacteraemia associated with a multi-bacterial water-borne epidemic among neutropenic patients. J Hosp Infect 50, 196–201.[CrossRef]
    [Google Scholar]
  18. Reina, J., Bassa, A., Llompart, I., Portela, D. & Borrell, N. ( 1991; ). Infections with Pseudomonas paucimobilis: report of four cases and review. Rev Infect Dis 13, 1072–1076.[CrossRef]
    [Google Scholar]
  19. Salazar, R., Martino, R., Sureda, A., Brunet, S., Subirá, M. & Domingo-Albós, A. ( 1995; ). Catheter-related bacteremia due to Pseudomonas paucimobilis in neutropenic cancer patients: report of two cases. Clin Infect Dis 20, 1573–1574.[CrossRef]
    [Google Scholar]
  20. Seo, S. W., Chung, I. Y., Kim, E. & Park, J. M. ( 2008; ). A case of postoperative Sphingomonas paucimobilis endophthalmitis after cataract extraction. Korean J Ophthalmol 22, 63–65.[CrossRef]
    [Google Scholar]
  21. Slotnick, I. J., Hall, J. & Sacks, H. ( 1979; ). Septicemia caused by Pseudomonas paucimobilis. Am J Clin Pathol 72, 882–884.
    [Google Scholar]
  22. Smalley, D. L., Hansen, V. R. & Baselski, V. S. ( 1983; ). Susceptibility of Pseudomonas paucimobilis to 24 antimicrobial agents. Antimicrob Agents Chemother 23, 161–162.[CrossRef]
    [Google Scholar]
  23. Southern, P. M., Jr & Kutscher, A. E. ( 1981; ). Pseudomonas paucimobilis bacteremia. J Clin Microbiol 13, 1070–1073.
    [Google Scholar]
  24. Wong, K. S., Lin, T. Y., Huang, Y. C., Hsia, S. H., Yang, P. H. & Chu, S. M. ( 2002; ). Clinical and radiographic spectrum of septic pulmonary embolism. Arch Dis Child 87, 312–315.[CrossRef]
    [Google Scholar]
  25. Yu, K. H., Luo, S. F., Liou, L. B., Wu, Y. J., Tsai, W. P., Chen, J. Y. & Ho, H. H. ( 2003; ). Concomitant septic and gouty arthritis – an analysis of 30 cases. Rheumatology (Oxford) 42, 1062–1066.[CrossRef]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.009985-0
Loading
/content/journal/jmm/10.1099/jmm.0.009985-0
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error