A Rare Case of <i>Sphingomonas paucimobilis</i> Meningitis in the Absence of Cerebrospinal Fluid Pleocytosis

Mehmood, Hassan; Khan, Noman; Ullah, Saad; Ullah, Asad; Marwat, Asghar

doi:10.1177/2324709618756424

Cited by 12 publications

(14 citation statements)

References 26 publications

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“…Initially, this organism was also thought to be nonpathogenic, but later it was found to involve in many infections. Cases have been reported for wound infection, meningitis ventilator associated pneumonia (Martino et al, 2000;Mehmood et al, 2018), splenic (Mohan and Railey, 2015. ), urinary tract infection (Demir and Dadali, 2016) and osteomyelitis (Tai and Velayuthan, 2014).…”

Section: Resultsmentioning

confidence: 99%

Isolation of multidrug-resistant bacteria from the hospital environment

Joshi¹,

Kaur²,

Shergill³

et al. 2019

ijrps

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Antibiotics are used to cure the illness caused by pathogenic microbes. The resistance towards such antibiotics is becoming a serious concern in the present time. The frequency of drug resistance is increasing in hospitals. This aptitude to develop resistance against antibiotics has become a serious threat to the patients that are already hospitalized, making them more prone to infections and increased complications of already existing medical conditions. It can also lead to a high mortality rate in hospitals. The present work is designed to isolate microbes from the hospital environment to check the sensitivity against various antibiotics. For the isolation, aerosol-based air samples were taken by exposing sterile Petri plate at the OPD and general ward for about 10 minutes after that the plates were taken to the lab and incubated at 37oc for 24 hours. Pure cultures were obtained by sub culturing the isolates onto fresh sterile nutrient agar plates. The clinical isolates were tested for antibiotic sensitivity test by using Dodeca G- V Plus disk (Himedia). The isolates were identified on the basis of microscopic and VITEK 2 based identification. Total of four bacteria Kocuria kristinae, Sphingomonas paucimobilis, Pantoea spp. and Staphylococcus vitulinus were isolated that showed variation in antibiotic-resistant pattern.

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Section: Resultsmentioning

confidence: 99%

Isolation of multidrug-resistant bacteria from the hospital environment

Joshi¹,

Kaur²,

Shergill³

et al. 2019

ijrps

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“…Bacterial meningitis is challenging to diagnose due to its various clinical signs and symptoms [17]. Among these reports, some had normal radiological findings with atypical clinical presentations of meningitis during the first clinical visit, like this case [13,15]. Four out of nine S. paucimobilis meningitis cases were complicated with hydrocephalus [4,10,13].…”

Section: Discussionmentioning

confidence: 98%

“…Most case reports of S. paucimobilis infection presented with primary bacteremia and were often associated with catheter-associated infections [3,4,8]. Only a few cases of S. paucimobilis central nervous system infection have been reported (Table 1) [4,[9][10][11][12][13][14][15]. When this pathogen infects the central nervous system and the adjacent tissue, the prognosis varies from baseline function recovery to severe disability and even death [9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in an immunocompetent patient: a case report

Bae

Lee

2022

J Yeungnam Med Sci

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Sphingomonas paucimobilis is a gram-negative, nonfermenter, and community-acquired bacteria [1]. Sphingomonas spp. has been isolated from seawater, river water, wastewater, mineral water, and water-based hospital equipment [2]. Several hospital outbreaks of S. paucimobilis, mainly catheter-associated infections, have been reported [3,4]. Although S. paucimobilis has low virulence, it may still cause meningitis and bacteremia. S. paucimobilis infection involving the central nervous system can manifest as meningitis and ventriculitis.Listeria monocytogenes is a gram-positive pathogenic bacterium found in soil and water [5]. Community-acquired infections gen-

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“…Sphingomonas paucimobilis is a rare Gram‐negative bacillus found in soil, water, and hospital settings including hemodialysis devices 1 . It can infect various organ systems and cause bacteremia/septicaemia, but CNS infection is rare with only a few cases reported 2‐7 . Current case was supposed to be nosocomial during hemodialysis.…”

Section: Discussionmentioning

confidence: 99%

Acute disseminated encephalomyelitis due to Sphingomonas paucimobilis meningitis

Ohnmar

Kyaw

Lwin

2021

Neurology & Clinical Neurosc

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A 44‐year‐old man with end‐stage renal disease on regular hemodialysis presented with fever, loose motion, and confusion followed by coma. Screening for systemic infections was negative. MRI (Brain) showed multiple T2/FLAIR hyperintensities in the bilateral periventricular/subcortical regions involving corpus callosum and right cerebral peduncle with some restricted diffusions without abnormal enhancement suggestive of acute disseminated encephalomyelitis. Cerebrospinal fluid examination revealed normal protein, mildly reduced sugar and no pleocytosis but culture was Sphingomonas paucimobilis positive. Anti‐MOG antibody was negative. He was treated with antibiotics according to sensitivity and high dose steroid. At one and a half month after steroid initiation, he has significantly improved to Glasgow Coma Scale 15. Brain MRI rechecked at 3 months showed significant improvement with no recurrence. Here, we report a rare case of Sphingomonas paucimobilis meningitis complicated with acute disseminated encephalomyelitis.

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A Rare Case of Sphingomonas paucimobilis Meningitis in the Absence of Cerebrospinal Fluid Pleocytosis

Cited by 12 publications

References 26 publications

Isolation of multidrug-resistant bacteria from the hospital environment

Isolation of multidrug-resistant bacteria from the hospital environment

Coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in an immunocompetent patient: a case report

Acute disseminated encephalomyelitis due to Sphingomonas paucimobilis meningitis

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