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[A rare cause of nosocomial bacteremia: Sphingomonas paucimobilis].
Mikrobiyol Bul. 2008 Oct; 42(4):685-8.MB

Abstract

Sphingomonas paucimobilis, is a yellow-pigmented, aerobic, non-fermentative, non-spore-forming, gram-negative bacillus. Infections by S. paucimobilis which is widely found in nature and hospital environments are rarely serious or life threatening. In this report we present a case of hospital acquired bloodstream infection due to S. paucimobilis. The patient had a history of hydrocephalus diagnosed at sixth months of his birth and had experienced two ventriculoperitoneal shunt surgery. He was hospitalized and been treated for bronchopneumonia. On the 47th day of hospitalization, blood cultures (BACTEC, Becton Dickinson, USA) were taken because of a body temperature of 38.5 degrees C. One of the blood cultures was positive for gram-negative rods. After 48 h of incubation, the sub-cultures on blood agar medium yielded pure growth of a yellow, non-fermentative, gram-negative, rod-shaped bacterium. The microorganism was positive for oxidase, and esculin hydrolysis, while negative for urea and nitrate reduction and citrate utilisation. Motility was negative as well. The isolate has been identified as S. paucimobilis by using mini API (bioMerieux, France) system. The antibiotic susceptibility test was also performed with the same system and the strain was found susceptible to ceftazidime, ceftriaxone, cefoperazone, cefepime, cefotaxime, ciprofloxacin, imipenem, piperacillin-tazobactam, aztreonam, amikasin and gentamicin. Treatment with intravenous ceftriaxone (2 x 750 mg/day) was initiated. He responded well to the treatment and discharged on the tenth day. This case was reported to emphasize that S. paucimobilis should be kept in mind as a nosocomial infectious agent and the infections should be treated according to the sensitivity test results.

Authors+Show Affiliations

SB Ankara Eğitim ve Araştirma Hastanesi, Enfeksiyon Hastaliklari ve Klinik Mikrobiyoloji Kliniği, Ankara. cmlbulut@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

tur

PubMed ID

19149092

Citation

Bulut, Cemal, et al. "[A Rare Cause of Nosocomial Bacteremia: Sphingomonas Paucimobilis]." Mikrobiyoloji Bulteni, vol. 42, no. 4, 2008, pp. 685-8.
Bulut C, Yetkin MA, Koruk ST, et al. [A rare cause of nosocomial bacteremia: Sphingomonas paucimobilis]. Mikrobiyol Bul. 2008;42(4):685-8.
Bulut, C., Yetkin, M. A., Koruk, S. T., Erdinç, F. S., & Karakoç, E. A. (2008). [A rare cause of nosocomial bacteremia: Sphingomonas paucimobilis]. Mikrobiyoloji Bulteni, 42(4), 685-8.
Bulut C, et al. [A Rare Cause of Nosocomial Bacteremia: Sphingomonas Paucimobilis]. Mikrobiyol Bul. 2008;42(4):685-8. PubMed PMID: 19149092.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A rare cause of nosocomial bacteremia: Sphingomonas paucimobilis]. AU - Bulut,Cemal, AU - Yetkin,M Arzu, AU - Koruk,Süda Tekin, AU - Erdinç,F Sebnem, AU - Karakoç,Esra Alp, PY - 2009/1/20/entrez PY - 2009/1/20/pubmed PY - 2009/4/8/medline SP - 685 EP - 8 JF - Mikrobiyoloji bulteni JO - Mikrobiyol Bul VL - 42 IS - 4 N2 - Sphingomonas paucimobilis, is a yellow-pigmented, aerobic, non-fermentative, non-spore-forming, gram-negative bacillus. Infections by S. paucimobilis which is widely found in nature and hospital environments are rarely serious or life threatening. In this report we present a case of hospital acquired bloodstream infection due to S. paucimobilis. The patient had a history of hydrocephalus diagnosed at sixth months of his birth and had experienced two ventriculoperitoneal shunt surgery. He was hospitalized and been treated for bronchopneumonia. On the 47th day of hospitalization, blood cultures (BACTEC, Becton Dickinson, USA) were taken because of a body temperature of 38.5 degrees C. One of the blood cultures was positive for gram-negative rods. After 48 h of incubation, the sub-cultures on blood agar medium yielded pure growth of a yellow, non-fermentative, gram-negative, rod-shaped bacterium. The microorganism was positive for oxidase, and esculin hydrolysis, while negative for urea and nitrate reduction and citrate utilisation. Motility was negative as well. The isolate has been identified as S. paucimobilis by using mini API (bioMerieux, France) system. The antibiotic susceptibility test was also performed with the same system and the strain was found susceptible to ceftazidime, ceftriaxone, cefoperazone, cefepime, cefotaxime, ciprofloxacin, imipenem, piperacillin-tazobactam, aztreonam, amikasin and gentamicin. Treatment with intravenous ceftriaxone (2 x 750 mg/day) was initiated. He responded well to the treatment and discharged on the tenth day. This case was reported to emphasize that S. paucimobilis should be kept in mind as a nosocomial infectious agent and the infections should be treated according to the sensitivity test results. SN - 0374-9096 UR - https://www.unboundmedicine.com/medline/citation/19149092/[A_rare_cause_of_nosocomial_bacteremia:_Sphingomonas_paucimobilis]_ DB - PRIME DP - Unbound Medicine ER -