scholarly journals Sphingomonas paucimobilis bacteraemia and septic arthritis in a diabetic patient presenting with septic pulmonary emboli

2009 ◽  
Vol 58 (9) ◽  
pp. 1259-1263 ◽  
Author(s):  
I-Ching Kuo ◽  
Po-Liang Lu ◽  
Wei-Ru Lin ◽  
Chun-Yu Lin ◽  
Yu-Wei Chang ◽  
...  

Sphingomonas paucimobilis, 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 S. paucimobilis. 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 S. paucimobilis infection.

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Kara Rognrud ◽  
Andrew M. Diaz ◽  
Collin Hill ◽  
Melissa A. Kershaw

A 47-year-old male with no significant medical history was hospitalized for bacteremia and diagnosed with endocarditis. The organism isolated was a Gram-negative bacillus—Sphingomonas paucimobilis. There are only a few reported cases of endocarditis caused by S. paucimobilis, and to our knowledge, this is the first in the United States.


2018 ◽  
Vol 22 (2) ◽  
pp. 189-194
Author(s):  
Syed Hassan A. Akbari ◽  
Christine E. Averill ◽  
Jarod L. Roland ◽  
Rachel Orscheln ◽  
Jennifer Strahle

Bartonella henselae is a gram-negative bacillus implicated in cat-scratch disease. Cat-scratch disease is usually self-limiting and results in local lymphadenopathy. In rare circumstances, patients may develop endocarditis, neuroretinitis, or osteomyelitis. Osteomyelitis of the cervical spine is exceedingly rare, especially in the pediatric population, and to date there have been only 4 previously reported cases of cervical spine osteomyelitis caused by B. henselae, all of which were treated surgically. In this article, the authors report the case of a 7-year-old boy who presented with neck swelling and was found to have a C2–4 paravertebral B. henselae abscess with osteomyelitis of C-3 and epidural extension. To the authors’ knowledge, this represents the first case in the literature of a cervical spine B. henselae infection managed conservatively.


2020 ◽  
Vol 48 (8) ◽  
pp. 030006052092986
Author(s):  
Li Chen ◽  
Zhuo Zai Xu ◽  
Yong Tao

This report describes the presence of Stenotrophomonas maltophilia endophthalmitis after phacoemulsification in a 66-year-old woman. The patient presented with ocular redness and pain, as well as hypopyon in the anterior chamber and reduction of visual acuity to hand motion. Intraocular fluid examination revealed a lipopolysaccharide level of >2.5, which suggested bacterial endophthalmitis. The patient was promptly treated with intravitreal ceftazidime 2 mg and vancomycin 1 mg, as well as intravenous infusion of cefuroxime 750 mg, all administered simultaneously at 12-hour intervals. She also received topical levofloxacin eyedrops, once per hour. Subsequently, pathology culture confirmed the presence of the Gram-negative bacillus, S. maltophilia. The presence of lipopolysaccharide in intraocular fluid is an important early indicator of bacterial endophthalmitis, which can provide guidance for clinical treatment.


1994 ◽  
Vol 5 (3) ◽  
pp. 133-136 ◽  
Author(s):  
Pierre Harvey ◽  
Paul Bayardelle ◽  
Raymond Bélanger ◽  
Louise Fortin

Campylobacter rectus,formerly known asWolinella recta,is an anaerobic Gram-negative bacillus, generally recognized as an agent responsible for severe periodontitis; only two cases of extra-oral infections have been reported. The first case of septicemia withC rectusandActinomyces odontolyticusis described in a 37-year-old farmer who suffered from severe sacroiliitis. Also presented are a review ofC rectusin human pathology, and a brief review of pyogenic sacroiliitis, a rather rare disease.


2014 ◽  
Vol 25 (5) ◽  
pp. 255-256 ◽  
Author(s):  
Boeun Lee ◽  
Mitchell R Weinstein

Dokdonella koreensisis a non-spore-forming, aerobic, Gram-negative bacillus that was initially isolated from soil. The pathogenicity of this organism in humans remains unclear. The authors report a case of successfully treatedD koreensisbacteremia in a patient with a hematological malignancy who presented with a fever and palmar-plantar erythrodysesthesia.


2021 ◽  
Vol 14 (11) ◽  
pp. e244600
Author(s):  
Margarida Mouro ◽  
João Frade ◽  
Catarina Chaves ◽  
Jorge Velez

Helcococcus kunzii is a Gram-positive anaerobic facultative coccus that colonises the skin. Human infection is rare, with very few cases being described in the literature. The authors present the case of a 17-year-old man, with a history of cholesteatoma, diagnosed with mastoiditis complicated by intracranial empyema. After urgent surgical drainage, Gram staining revealed a Gram-negative bacillus and a Gram-positive coccus. The latter exhibited fastidious growth, presented as small grey colonies in blood agar, and was afterwards identified as H. kunzii. The patient was started on intravenous antibiotics, switched to oral route after 8 weeks and fully recovered. To the best of our knowledge, this is the third case of an intracranial infection in which H. kunzii is involved, two of them occurring in patients with cholesteatoma.


2010 ◽  
Vol 30 (1) ◽  
pp. 119-121 ◽  
Author(s):  
H. Atalay ◽  
I. Güney ◽  
Y. Solak ◽  
E. Almaz

Morganella morganii, a gram-negative bacillus, is a rare cause of peritonitis. In this article we report a 55-year-old female patient with peritonitis due to Morganella morganii who was receiving continuous ambulatory peritoneal dialysis (CAPD).


Author(s):  
Ye Xiong ◽  
◽  
Jianrong Huang ◽  

Klebsiella pneumoniae, a Gram-negative bacillus which exists widely in nature, is generally colonized in the human intestine and oral cavity and does not cause disease [1]. However, the emergence and global expansion of hypervirulent and multidrug-resistant clones of K. pneumoniae have been increasingly reported in community-acquired and nosocomial infections. Management of antimicrobial resistance in multi-drug-resistant-K. pneumoniae (MDR-KP) is a major challenge for clinicians [2]. The optimal treatment option for MDR-KP infections is still not well established, which brings huge challenges to clinical treatment [2].


2019 ◽  
Vol 11 (1) ◽  
pp. 82-85 ◽  
Author(s):  
Manisha Acharya ◽  
Javed Hussain Farooqui ◽  
Hayden Spencer ◽  
Vinay Arora ◽  
Umang Mathur

Sphingomonas paucimobilis is a rare, aerobic Gram-negative soil bacillus rarely associated with intraocular infections. With only 3 cases of ophthalmic manifestations reported so far, we are presenting the fi rst case of S. Paucimobilis, causing keratitisafter cataract surgery, from India. The organism, which was resistant to initial medical treatment, eventually responded to a patch graft and the patient improved to a final visual acuity of 20/40.


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