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Related Experiment Videos

Sphingobacterium multivorum septicemia: a case report

S Areekul1, U Vongsthongsri, T Mookto

  • 1Department of Tropical Radioisotopes, Mahidol University, Bangkok, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|June 1, 1996
PubMed
Summary

Sphingobacterium multivorum can cause severe infections, including septicemia and meningitis, in immunocompromised patients, particularly those with HIV. This case highlights the importance of identifying this rare pathogen in high-risk individuals.

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Immunology

Background:

  • A 47-year-old male with a 3-year history of diabetes mellitus presented with prolonged fever, chills, and weight loss.
  • The patient had positive anti-Human Immunodeficiency Virus (HIV) tests, indicating an immunocompromised state.

Observation:

  • Initial investigations, including Widal and Weil-Felix tests, were negative. Chest X-ray was normal.
  • Blood and sputum cultures identified Sphingobacterium multivorum, sensitive to multiple antibiotics.
  • The patient subsequently developed meningitis, confirmed by cerebrospinal fluid analysis showing inflammatory cells.

Findings:

  • Sphingobacterium multivorum caused severe septicemia and meningitis in this immunocompromised patient.
  • Despite treatment with ceftriaxone and trimethoprim-sulfamethoxazole, the patient died 6 days after admission.

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  • This represents the fifth reported case of S. multivorum infection, underscoring its potential pathogenicity.

    • Implications:

    • Highlights Sphingobacterium multivorum as a potential opportunistic pathogen in immunocompromised individuals.
    • Emphasizes the need for considering rare bacterial infections in patients with unexplained symptoms and compromised immunity.
    • Suggests the importance of early and accurate diagnosis for effective management of S. multivorum infections.