J Korean Neurosurg Soc.  2017 Jul;60(4):481-483. 10.3340/jkns.2014.0102.004.

Sphingomonas Paucimobilis: A Rare Infectious Agent Found in Cerebrospinal Fluid

Affiliations
  • 1Department of Neurosurgery, Ministry of Health, Training and Research Hospital, Kayseri, Turkey. mbahadiryilmaz@yahoo.com.tr
  • 2Department of Infectious Diseases, Ministry of Health, Training and Research Hospital, Kayseri, Turkey.

Abstract

Sphingomonas paucimobilis (S. paucimobilis) is a gram negative bacillus. It has existed in soil, drinking water and plants. It has been isolated from distilled water tanks, respirators, and hemodialysis devices at the hospital setting. Patients with chronic disorders or immune suppression may be susceptible to infections with it. This microorganism has also been reported to infect healthy persons. Both nosocomial and community-acquired infections have been reported. So far, a variety of infections have been reported, including sepsis, septic pulmonary embolism, septic arthritis, peritonitis, and endophthalmitis. Only 2 cases of meningitis have been reported so far in the literature. So far, no previous reports of culture proliferation have been reported in patients with external ventricular drains, as was the case in our patient. Therefore, our case is the first to have S. paucimobilis proliferation in cerebrospinal fluid culture during intensive care unit stay for an external ventricular drain.

Keyword

Sphingomonas paucimobilis; External ventricular drain; Bacteria; Infection; Cerebrospinal fluid

MeSH Terms

Arthritis, Infectious
Bacillus
Bacteria
Cerebrospinal Fluid*
Community-Acquired Infections
Drinking Water
Endophthalmitis
Humans
Intensive Care Units
Meningitis
Peritonitis
Pulmonary Embolism
Renal Dialysis
Sepsis
Soil
Sphingomonas*
Ventilators, Mechanical
Water
Drinking Water
Soil
Water

Reference

References

1. Balkwill DL, Frederikson JK, Romine MF. Sphingomonas and related genera. Dworkin M, Falkow S, Rosenberg E, Schleifer KH, Stackebrand R, editors. The Prokaryotes: An Electronic Revolving Resource for the Microbiological Community. 3rd ed. New York: Springer Verlag;2006. p. 605–629.
Article
2. Crane LR, Tagle LC, Palutke WA. Outbreak of pseudomonas paucimobilis in an intensive care facility. JAMA. 246:985–987. 1981.
Article
3. Dervisoglu E, Meric M, Kalender B, Sengul E. Sphingomonas paucimobilis peritonitis: a case report and literature review. Perit Dial Int. 28:547–550. 2008.
Article
4. Faden H, Britt M, Epstein B. Sinus contamination with Pseudomonas paucimobilis: a pseudoepidemic due to contaminated irrigation fluid. Infect Control. 2:233–235. 1981.
Article
5. Hajiroussou V, Holmes B, Bullas J, Pinning CA. Meningitis caused by Pseudomonas paucimobilis. J Clin Pathol. 32:953–955. 1979.
Article
6. Holmes B, Owen RJ, Evans A, Malnick H, Willcox WR. Pseudomonas paucimobilis, a new species isolated from Human Clinical Specimens, the hospital environment, and other sources. Int J Syst Bacteriol. 27:133–146. 1977.
Article
7. Kuo IC, Lu PL, Lin WR, Lin CY, Chang YW, Chen TC, et al. Sphingomonas paucimobilis bacteraemia and septic arthritis in a diabetic patient presenting with septic pulmonary emboli. J Med Microbiol. 58(Pt 9):1259–1263. 2009.
Article
8. Lin JN, Lai CH, Chen YH, Lin HL, Huang CK, Chen WF, et al. Sphingomonas paucimobilis bacteremia in humans: 16 case reports and a literature review. J Microbiol Immunol Infect. 43:35–42. 2010.
Article
9. Reina J, Bassa A, Llompart I, Portela D, Borrell N. Infections with Pseudomonas paucimobilis: report of four cases and review. Rev Infect Dis. 13:1072–1076. 1991.
Article
10. Ryan MP, Adley CC. Sphingomonas paucimobilis: a persistent Gram-negative nosocomial infectious organism. J Hosp Infect. 75:153–157. 2010.
Article
11. Seo SW, Chung IY, Kim E, Park JM. A case of postoperative Sphingomonas paucimobilis endophthalmitis after cataract extraction. Korean J Ophthalmol. 22:63–65. 2008.
Article
12. Tai ML, Velayuthan RD. Sphingomonas paucimobilis: an unusual cause of meningitis-case report. Neurol Med Chir (Tokyo). 54:337–340. 2014.
Article
13. Yabuuchi E, Yano I, Oyaizu H, Hashimoto Y, Ezaki T, Yamamoto H. Proposals of Sphingomonas paucimobilis gen. nov and comb nov, Sphingomonas parapaucimobilis sp nov, Sphingomonas yanoikuyae sp nov, Sphingomonas adhaesiva sp nov, Sphingomonas capsulata comb nov, and two genospecies of the genus Sphingomonas. Microbiol Immunol. 34:99–119. 1990.
Article
Full Text Links
  • JKNS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr