Primary Bacteremia Associated With Sphingomonas paucimobilis During the Late Period in a Patient With Ventriculoperitoneal Shunt After Neurosurgery With Literature Review
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Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Sphingomonas paucimobilis is a Gram-negative aerobic rod, which is nonfermentative, nonspore forming, catalase positive, and oxidase positive. It is believed that the natural habitat of this organism is the natural environment, and it is also found in hospital settings. The infections caused by the bacteria are rarely life threatening. A 46-year-old woman was admitted to our clinic with right flank pain, groin pain, and fever. On clinical examination, right costovertebral angle pain and an operation scar in the temporal region were observed. A review of her medical history revealed an operation for subarachnoid hemorrhage secondary to aneurysm and a ventriculoperitoneal shunt 6 weeks before admission. Ceftriaxone 2 x 1 g/day was started. No growth was detected in urine, cerebrospinal fluid, and temporal fluid cultures; however, a Gram-negative rod grew in one of the blood cultures on the second day of treatment. Intravenous ciprofloxacin 400 mg 2 x 1/day was added to treatment. Ceftriaxone treatment was switched to cefoperazon-sulbactam 1 gr 2 x 1/day. No growth was observed in urine and blood control cultures on the third day of treatment. Cefoperazon-sulbactam was stopped on the 10th day, and ciprofloxacin was continued until the 21st day. In English literature, the presence of Sphingomonas paucimobilis bacteremia after neurosurgery has not been previously reported.
Açıklama
Hakyemez, Ismail/0000-0001-6133-9604
WOS: 000300408500009
WOS: 000300408500009
Anahtar Kelimeler
bacteremia, intracranial surgery, late period, Sphingomonas paucimobilis, ventriculoperitoneal shunt
Kaynak
Neurosurgery Quarterly
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
22
Sayı
1