Rare Diseases Symptoms Automatic Extraction
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Sphingomonas paucimobilis bacteraemia and shock in a patient with rheumatic carditis.
[acute rheumatic fever]
Acute
rheumatic
fever
(
ARF
)
carditis
is
treated
with
steroids
,
which
can
cause
changes
in
the
cellular
immune
response
,
especially
decreased
CD
3
(
+
)
T
cells
.
Nosocomial
infections
due
to
steroid
use
for
treatment
of
ARF
carditis
or
secondary
to
the
changes
in
the
cellular
immune
response
have
not
been
reported
in
the
literature
.
Sphingomonas
paucimobilis
is
a
Gram
-negative
bacillus
causing
community-
and
hospital-acquired
infections
.
It
has
been
reported
as
causing
bacteraemia
/
sepsis
,
pneumonia
or
peritonitis
in
patients
with
malignancies
,
immunosuppression
or
diabetes
.
We
present
a
case
with
S
.
paucimobilis
bacteraemia
/
sepsis
and
shock
after
administration
of
steroids
for
treatment
of
ARF
carditis
.
We
suggest
early
identification
of
the
causative
agent
and
appropriate
adjustments
of
the
treatment
plan
to
avoid
shock
and
possible
mortality
.
This
is
the
first
reported
case
of
S
.
paucimobilis
bacteraemia
/
sepsis
in
the
setting
of
steroid
use
for
ARF
carditis
.
