Sphingomonas Paucimobilis Bacteremia in a Patient with Major Burns Injury: A Case Report

Afaf Al Maskari, Ramesh Ganeshan, Ahmed Al Messabi, Hasan Al Zaabi, Noor Mohammad Abdul Haqu, Rauf Ahmad Wani,Zahir Osman Eltahir Babiker, Adnan Alatoom, Fouzia Jabeen,Emmanuel Nsutebu

Emirates medical journal(2023)

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摘要
Background:: Sphingomonas paucimobilis is an emerging opportunistic pathogen associated with hospital and community-acquired infections. Infection is the most common cause of morbidity and mortality in burn patients. Case Presentation:: We present a case of a 29-year-old lady who sustained severe burn injuries after a gas explosion at home. She was admitted to the United Arab Emirates (UAE) National Burns Unit and required several episodes of surgical debridement. She developed S. paucimobilis bloodstream infection whilst being treated with Piperacillin-tazobactam. She was subsequently treated with Meropenem for a total of 7 days after removing the source of infection, an infected central line. The S. paucimobilis isolate showed intermediate resistance to Piperacillin-tazobactam. Conclusion:: Numerous case reports indicate high morbidity in patients with life-threatening S. paucimobilis infections, immunocompromised patients, and patients with underlying medical comorbidity; however, this is the first reported case from the UAE.
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major burns injury,bacteremia
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