Sphingobacterium multivorum septicemia : A case report
A 47-year-old man presented with a history of fever, chills and weight loss for 3 months. He had been treated for diabetes mellitus during the past 3 years. He developed high fever with abnormal liver function tests. Both Widal and Weil-Felix reactions were negative with normal roentgenogram of the...
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Veröffentlicht in: | Journal of the Medical Association of Thailand 1996-06, Vol.79 (6), p.395-398 |
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creator | AREEKUL, S MOOKTO, T VONGSTHONGSRI, U CHETTANADEE, S WILAIRATANA, P |
description | A 47-year-old man presented with a history of fever, chills and weight loss for 3 months. He had been treated for diabetes mellitus during the past 3 years. He developed high fever with abnormal liver function tests. Both Widal and Weil-Felix reactions were negative with normal roentgenogram of the chest. His anti-HIV tests were positive. The cultures from the blood and sputum yielded pure Sphingobacterium multivorum sensitive to sulfamethoxazole-trimethoprim, chloramphenicol, tetracycline, cefotaxime, ceftazidine and ceftriaxone. On the next day, the patient developed signs and symptoms of meningitis with the CSF containing chronic and acute inflammatory cells but revealed no growth on culture. The patient was treated with a combination of ceftriazone and trimethoprim-sulfamethoxazole but he died on the 6th day after admission. This patient was the fifth reported case infected with S.multivorum. It illustrates that this potentially pathogenic organism can cause septicemia in an immunodeficient patient. |
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He had been treated for diabetes mellitus during the past 3 years. He developed high fever with abnormal liver function tests. Both Widal and Weil-Felix reactions were negative with normal roentgenogram of the chest. His anti-HIV tests were positive. The cultures from the blood and sputum yielded pure Sphingobacterium multivorum sensitive to sulfamethoxazole-trimethoprim, chloramphenicol, tetracycline, cefotaxime, ceftazidine and ceftriaxone. On the next day, the patient developed signs and symptoms of meningitis with the CSF containing chronic and acute inflammatory cells but revealed no growth on culture. The patient was treated with a combination of ceftriazone and trimethoprim-sulfamethoxazole but he died on the 6th day after admission. This patient was the fifth reported case infected with S.multivorum. 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He had been treated for diabetes mellitus during the past 3 years. He developed high fever with abnormal liver function tests. Both Widal and Weil-Felix reactions were negative with normal roentgenogram of the chest. His anti-HIV tests were positive. The cultures from the blood and sputum yielded pure Sphingobacterium multivorum sensitive to sulfamethoxazole-trimethoprim, chloramphenicol, tetracycline, cefotaxime, ceftazidine and ceftriaxone. On the next day, the patient developed signs and symptoms of meningitis with the CSF containing chronic and acute inflammatory cells but revealed no growth on culture. The patient was treated with a combination of ceftriazone and trimethoprim-sulfamethoxazole but he died on the 6th day after admission. This patient was the fifth reported case infected with S.multivorum. It illustrates that this potentially pathogenic organism can cause septicemia in an immunodeficient patient.</description><subject>AIDS/HIV</subject><subject>Anti-Bacterial Agents</subject><subject>Bacteremia - diagnosis</subject><subject>Bacteremia - drug therapy</subject><subject>Bacteremia - physiopathology</subject><subject>Bacterial diseases</subject><subject>Bacterial sepsis</subject><subject>Biological and medical sciences</subject><subject>Drug Therapy, Combination - therapeutic use</subject><subject>Fatal Outcome</subject><subject>Flavobacterium - isolation & purification</subject><subject>Gram-Negative Bacterial Infections - diagnosis</subject><subject>Gram-Negative Bacterial Infections - drug therapy</subject><subject>Gram-Negative Bacterial Infections - physiopathology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Tropical medicine</subject><issn>0125-2208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j01LxDAYhHNQ1nX1Jwg9iLdCvpt6Wxa_YMGDei5v4huNNG1MWsF_74rF0wzMMwNzRNaUcVVzTs0JOS3lg1KpWi1WZGWMUpqpNdFP6T0Mb6MFN2EOc6zi3E_ha8wHWzBNwWEMUF1X28pBwSpjGvN0Ro499AXPF92Ql9ub5919vX-8e9ht93ViTJq6sU76RnlOUaDlDLx0EprWedEApR6Vs1p6z4zVDXqklB5qWlrPLLe2FRty9beb8vg5Y5m6GIrDvocBx7l0jZFMafULXizgbCO-dimHCPm7W44e8sslh-Kg9xkGF8o_JrikrWHiB7mjWs8</recordid><startdate>199606</startdate><enddate>199606</enddate><creator>AREEKUL, S</creator><creator>MOOKTO, T</creator><creator>VONGSTHONGSRI, U</creator><creator>CHETTANADEE, S</creator><creator>WILAIRATANA, P</creator><general>Medical Association of Thailand</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199606</creationdate><title>Sphingobacterium multivorum septicemia : A case report</title><author>AREEKUL, S ; MOOKTO, T ; VONGSTHONGSRI, U ; CHETTANADEE, S ; WILAIRATANA, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1148-7bc4f75f20e3eb21af4c4a79cf37a00fe5cb64ff18b67efe00014864bf1b2bb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>AIDS/HIV</topic><topic>Anti-Bacterial Agents</topic><topic>Bacteremia - diagnosis</topic><topic>Bacteremia - drug therapy</topic><topic>Bacteremia - physiopathology</topic><topic>Bacterial diseases</topic><topic>Bacterial sepsis</topic><topic>Biological and medical sciences</topic><topic>Drug Therapy, Combination - therapeutic use</topic><topic>Fatal Outcome</topic><topic>Flavobacterium - isolation & purification</topic><topic>Gram-Negative Bacterial Infections - diagnosis</topic><topic>Gram-Negative Bacterial Infections - drug therapy</topic><topic>Gram-Negative Bacterial Infections - physiopathology</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Tropical medicine</topic><toplevel>online_resources</toplevel><creatorcontrib>AREEKUL, S</creatorcontrib><creatorcontrib>MOOKTO, T</creatorcontrib><creatorcontrib>VONGSTHONGSRI, U</creatorcontrib><creatorcontrib>CHETTANADEE, S</creatorcontrib><creatorcontrib>WILAIRATANA, P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Medical Association of Thailand</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AREEKUL, S</au><au>MOOKTO, T</au><au>VONGSTHONGSRI, U</au><au>CHETTANADEE, S</au><au>WILAIRATANA, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sphingobacterium multivorum septicemia : A case report</atitle><jtitle>Journal of the Medical Association of Thailand</jtitle><addtitle>J Med Assoc Thai</addtitle><date>1996-06</date><risdate>1996</risdate><volume>79</volume><issue>6</issue><spage>395</spage><epage>398</epage><pages>395-398</pages><issn>0125-2208</issn><coden>JMTHBU</coden><abstract>A 47-year-old man presented with a history of fever, chills and weight loss for 3 months. He had been treated for diabetes mellitus during the past 3 years. He developed high fever with abnormal liver function tests. Both Widal and Weil-Felix reactions were negative with normal roentgenogram of the chest. His anti-HIV tests were positive. The cultures from the blood and sputum yielded pure Sphingobacterium multivorum sensitive to sulfamethoxazole-trimethoprim, chloramphenicol, tetracycline, cefotaxime, ceftazidine and ceftriaxone. On the next day, the patient developed signs and symptoms of meningitis with the CSF containing chronic and acute inflammatory cells but revealed no growth on culture. The patient was treated with a combination of ceftriazone and trimethoprim-sulfamethoxazole but he died on the 6th day after admission. This patient was the fifth reported case infected with S.multivorum. It illustrates that this potentially pathogenic organism can cause septicemia in an immunodeficient patient.</abstract><cop>Bangkok</cop><pub>Medical Association of Thailand</pub><pmid>8855615</pmid><tpages>4</tpages></addata></record> |
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source | MEDLINE; Alma/SFX Local Collection |
subjects | AIDS/HIV Anti-Bacterial Agents Bacteremia - diagnosis Bacteremia - drug therapy Bacteremia - physiopathology Bacterial diseases Bacterial sepsis Biological and medical sciences Drug Therapy, Combination - therapeutic use Fatal Outcome Flavobacterium - isolation & purification Gram-Negative Bacterial Infections - diagnosis Gram-Negative Bacterial Infections - drug therapy Gram-Negative Bacterial Infections - physiopathology Human bacterial diseases Humans Infectious diseases Male Medical sciences Middle Aged Tropical medicine |
title | Sphingobacterium multivorum septicemia : A case report |
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