Title:Sphingomonas Paucimobilis Bacteremia in a Patient with Major Burns Injury:
A Case Report
Volume: 5
Author(s): Afaf Al Maskari*, Ramesh Ganeshan, Ahmed Al Messabi, Hasan Al Zaabi, Noor Mohammad Abdul Haqu, Robert Lodu Serafino Wani, Zahir Babiker, Adnan Alatoom, Fouzia Jabeen and Emmanuel Fru Nsutebu
Affiliation:
- Education Institute, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
Keywords:
Sphingomonas paucimobilis, Central line-associated blood stream infections, Bacteremia, Hospital acquired, Major burns, Burns unit.
Abstract:
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.
