A Rare Presentation of Sphingomonas paucimobilis in a Healthy Child: Acute Ischemic Stroke

Abstract

Sphingomonas paucimobilis is a rarely pathogenic organism that usually infects immunocompromised patients and causes nosocomial infections, but a few community-acquired infections have been identified in relatively healthy adult patients. Herein we report a 5-year-old child who presented with acute ischemic stroke caused by S. paucimobilis that was treated successfully with antibiotics and antithrombotic agents. According to our knowledge, this is the first case of acute ischemic infarction with S. paucimobilis in a previously healthy child.

Keywords

Sphingomonas paucimobilis - acute ischemic stroke - children

Publication History

Received: 30 November 2022

Accepted: 01 March 2023

Article published online:
17 April 2023

• References

• 1 Saboor F, Amin F, Nadeem S. Community acquired Sphingomonas paucimobilis in a child - a rare case. J Pak Med Assoc 2018; 68 (11) 1714-1716
• 2 Aşkın FN, Erinmez M, Ören AC, Manay AB, Zer Y. Sphingomonas paucimobilis outbreak a pediatric hematology-oncology hospital: epidemiological investigation and literature review of an emerging healthcare-associated infection. Jpn J Infect Dis 2022; 75 (04) 374-381
• 3 Özdemir M, Pekcan S, Demircili ME. et al. A rare cause of bacteremia in a pediatric patient with Down syndrome: Sphingomonas paucimobilis. Int J Med Sci 2011; 8 (07) 537-539
• 4 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 (01) 35-42
• 5 Rinawati W, Kumalawati J. Sphingomonas paucimobilis infection in subcutaneous abdominal preservation of bone flap after craniotomy. J Infect Dev Ctries 2022; 16 (02) 388-391
• 6 Bayram N, Devrim I, Apa H, Gülfidan G, Türkyılmaz HN, Günay I. Sphingomonas paucimobilis infections in children: 24 case reports. Mediterr J Hematol Infect Dis 2013; 5 (01) e2013040
• 7 Ionescu MI, Neagoe DȘ, Crăciun AM, Moldovan OT. The gram-negative Bacilli isolated from Caves-Sphingomonas paucimobilis and Hafnia alvei and a review of their involvement in human infections. Int J Environ Res Public Health 2022; 19 (04) 2324
• 8 Alkhatib B, Veytsman E, Klumpp L, Hayes E. Sphingomonas paucimobilis septic shock in an immunocompetent patient. Cureus 2022; 14 (07) e26720
• 9 Yuen LC, Jackson T. A case of intra-abdominal abscess due to sphingomonas paucimobilis in a patient on peritoneal dialysis: a case report and review of literature. Indian J Nephrol 2020; 30 (03) 196-200
• 10 Menekşe Ş, Tanrıverdi ES, Altınay E, et al. A long-lasting Sphingomonas paucimobilis outbreak: a potential for pathogens to persist on environmental devices despite disinfection measures. Am J Infect Control 2022;S0196-6553(22)00782-9