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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
.
Diseases
Validation
Diseases presenting
"first reported case"
symptom
achondroplasia
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
aniridia
cutaneous mastocytosis
dedifferentiated liposarcoma
epidermolysis bullosa simplex
fabry disease
focal myositis
harlequin ichthyosis
heparin-induced thrombocytopenia
kabuki syndrome
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
pleomorphic liposarcoma
primary hyperoxaluria type 1
thoracic outlet syndrome
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
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