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 .

Diseases
Validation

Diseases presenting "fever" symptom

22q11.2 deletion syndrome

acute rheumatic fever

alexander disease

allergic bronchopulmonary aspergillosis

canavan disease

carcinoma of the gallbladder

child syndrome

congenital toxoplasmosis

cushing syndrome

cystinuria

dracunculiasis

erdheim-chester disease

esophageal adenocarcinoma

esophageal carcinoma

familial mediterranean fever

focal myositis

hodgkin lymphoma, classical

lamellar ichthyosis

legionellosis

locked-in syndrome

malignant atrophic papulosis

neonatal adrenoleukodystrophy

neuralgic amyotrophy

oculocutaneous albinism

papillon-lefèvre syndrome

pyomyositis

pyruvate dehydrogenase deficiency

scrub typhus

severe combined immunodeficiency

sneddon syndrome

systemic capillary leak syndrome

triple a syndrome

typhoid

waldenström macroglobulinemia

wolf-hirschhorn syndrome

This symptom has already been validated