Kuo I-Ching, Lu Po-Liang, Lin Wei-Ru, Lin Chun-Yu, Chang Yu-Wei, Chen Tun-Chieh, Chen Yen-Hsu
Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100 Tzyou 1st Road, Kaohsiung City 807, Taiwan, ROC.
Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, No. 100 Tzyou 1st Road, Kaohsiung City 807, Taiwan, ROC.
J Med Microbiol. 2009 Sep;58(Pt 9):1259-1263. doi: 10.1099/jmm.0.009985-0. Epub 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 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.
少动鞘氨醇单胞菌是一种产黄色色素、需氧、不发酵葡萄糖的革兰氏阴性杆菌，是人类感染的罕见病因，通常与免疫功能低下的宿主有关。我们报告一例47岁糖尿病男性发生菌血症和脓毒性关节炎的病例，该患者因少动鞘氨醇单胞菌感染出现脓毒性肺栓塞。患者最初表现为发热、右膝疼痛、咳嗽、呼吸困难和胸痛。根据患者的抗生素敏感性谱，通过手术清创联合美罗培南加环丙沙星成功治疗了感染。据我们所知，这是首例关于少动鞘氨醇单胞菌感染引起脓毒性肺栓塞的病例报告。
