Kuo IC, Lu PL, Lin WR, Lin CY, Chang YW, Chen TC, Chen YH Sphingomonas paucimobilis bacteremia and septic arthritis in a diabetic patient presenting with septic pulmonary emboli. [JOURNAL ARTICLE] J Med Microbiol 2009 Jun 15.
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 bacteremia and septic arthritis in a 47-year-old diabetic man who was presented with septic pulmonary emboli (SPE) due to S. paucimobilis. The patient had an initial presentation of fever, right knee pain, coughing, dyspnea and chest pain. The infection was treated successfully by surgical debridement combined with meropenem plus ciprofloxacin, based on the patient's antibiotic susceptibility profile. This is the first known case report for SPE having arisen from a Sphingomonas paucimobilis infection.
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