Indian Journal of Critical Care Case Report

Register      Login

VOLUME 2 , ISSUE 4 ( July-August, 2023 ) > List of Articles

CASE REPORT

Sphingomonas paucimobilis Bacteremia in an Immunocompetent Patient: A Case Report and Review of Literature

Mitra Kar, Nidhi Tejan, Ashima Jamwal, Shailesh Sengar, Chinmoy Sahu, Sangram S Patel

Keywords : Bacteremia, Bacillus, Case report, Dengue, Soil, Sphingomonas paucimobilis, Water

Citation Information : Kar M, Tejan N, Jamwal A, Sengar S, Sahu C, Patel SS. Sphingomonas paucimobilis Bacteremia in an Immunocompetent Patient: A Case Report and Review of Literature. 2023; 2 (4):94-96.

DOI: 10.5005/jp-journals-11006-0062

License: CC BY-NC 4.0

Published Online: 18-08-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Introduction: Sphingomonas paucimobilis (S. paucimobilis) is a non-fermenting, gram-negative bacillus with very low pathogenic potential. These bacilli are found to inhabit the soil and aquatic milieu and are usually transmitted in the hospital environment by means of contaminated drugs, equipment, and water, causing infection in immunocompromised individuals. Case description: We present a case of a 26-year-old immunocompetent patient suffering from dengue hemorrhagic fever followed by secondary bacteremia with S. paucimobilis which was isolated from peripheral blood and bone marrow samples. Conclusion: A microorganism with low pathogenic potential like S. paucimobilis is also capable of causing bacteremia in immunocompetent individuals. Awareness among physicians about this rare pathogen can promote early treatment with appropriate antibiotics.


HTML PDF Share
  1. Lin JN, Lai CH, Chen YH, et al. Sphingomonas paucimobilis bacteremia in humans: 16 case reports and a literature review. J Microbiol Immunol Infect 2010;43(1):35–42. DOI: 10.1016/S1684-1182(10)60005-9
  2. Tai ML, Velayuthan RD. Sphingomonas paucimobilis: an unusual cause of meningitis-case report. Neurol Med Chir (Tokyo) 2014;54(4): 337–340. DOI: 10.2176/nmc.cr2012-0429
  3. Birlutiu V, Dobritoiu SE, Ghibu AM, et al. Sphingomonas paucimobilis - a rare cause of splenic abscesses: a case report. Medicine (Baltimore) 2022;101(1):e28522. DOI: 10.1097/MD.0000000000028522
  4. Ryan MP, Adley CC. Sphingomonas paucimobilis: a persistent gram-negative nosocomial infectious organism. J Hosp Infect 2010;75(3):153–157. DOI: 10.1016/j.jhin.2010.03.007
  5. Hsueh PR, Teng LJ, Yang PC, et al. Nosocomial infections caused by Sphingomonas paucimobilis: clinical features and microbiological characteristics. Clin Infect Dis 1998;26(3):676–681. DOI: 10.1086/514595
  6. Perola O, Nousiainen T, Suomalainen S, et al. Recurrent Sphingomonas paucimobilis -bacteraemia associated with a multi-bacterial water-borne epidemic among neutropenic patients. J Hosp Infect 2002;50(3):196–201. DOI: 10.1053/jhin.2001.1163
  7. Yozgat Y, Kilic A, Karadeniz C, et al. Sphingomonas paucimobilis bacteraemia and shock in a patient with rheumatic carditis. Indian J Med Microbiol 2014;32(4):451–454. DOI: 10.4103/0255-0857.142253
  8. Hardjo Lugito, Cucunawangsih, Kurniawan A. A lethal case of Sphingomonas paucimobilis bacteremia in an immunocompromised patient. Case Rep Infect Dis 2016;2016:3294639. DOI: 10.1155/2016/3294639
  9. Chowdhary P, Ranjan R, Pandey A, et al. Sphingomonas paucimobilis septicemia in a neonate: a rare case report. Indian J Pathol Microbiol 2016;59(1):119–121. DOI: 10.4103/0377-4929.174821
  10. Alkhatib B, Veytsman E, Klumpp L, et al. Sphingomonas paucimobilis septic shock in an immunocompetent patient. Cureus 2022;14(7):e26720. DOI: 10.7759/cureus.26720
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.