Sphingomonas Paucimobilis Peritonitis: A Case Report and Literature Review

Peritoneal Dialysis Related Peritonitis by Sphingomonas Paucimobilis

“…It is an uncommon pathogen for PD-related peritonitis, and clinical outcomes in the cases reported so far have varied, with some cases responding to antibiotic therapy alone (5)(6)(7)(8)(9)(10)(11) whereas others have eventually required catheter removal (approximately 50%) (4,5,(12)(13)(14). Literature about peritonitis and treatment caused by Sphingomonas species in PD patients is very limited ( Table 1).…”

Nosocomial Infections and Cases of Sphingomonas Paucimobilis

“…Bacteria are found in nature, in soil, in water, in the environment outside, and rarely cause nosocomial infections (5,9,12,(15)(16)(17). In nosocomial infections, where endogenous florans predominate, S. paucimobilis is often contaminated by the contamination of sterile solutions (5,6,9). Pathogenicity of the bacteria, although weak, especially when it is stated that patients be treated with immunosuppressive and hematological history is with a 5.5% mortality (12,17).…”

“…In our country and abroad, occasionally isolation of peritoneal fluids is occured (6,8,17,18). Dervisoglu et al (6) have isolated S.paucimobilis in the peritoneal fluid of a patient undergoing chronic ambulatory peritoneal dialysis and have shown that this bacteria remains in the patient's peritoneal fluid for 17 days despite appropriate antibiotic therapy. Some authors have reported that bacterial peritoneal fluid isolation is terminated after changing the patient's catheter in their presentations (3,6).…”

“…Sphingomonas paucimobilis (S.paucimobilis), a non-fermentative gram-negative bacillus, has recently begun to be reported as a causative pathogen in rare cases of nosocomial infections (1)(2)(3)(4). This bacterium has been shown to be an opportunistic pathogen in environmental samples just like other opportunistic non-fermentative bacteria, especially in immunosuppressive, diabetic and cirrhotic cases (5)(6)(7)(8)(9)(10)(11)(12)(13)(14). This micro-organism is a bacterium with poor pathogenicity (12)(13)(14)(15)(16)(17)(18), which has the property of being found in low carbon environment (oligotropic), water, nature and soil.…”

“…This micro-organism is a bacterium with poor pathogenicity (12)(13)(14)(15)(16)(17)(18), which has the property of being found in low carbon environment (oligotropic), water, nature and soil. Especially in hospitalized patients, S. paucimobilis has been reported as a catheterassociated bacteriemia, sepsis, meningitis, peritonitis, genito-urinary, skin and wound infections (6)(7)(8)(9)(10). This bacterium has been reported to be community and hospital infections in Turkey and other countries, which are sometimes transmitted by water and food (9,(16)(17)(18)(19)(20)(21)(22).…”