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 "sepsis" symptom

acute rheumatic fever

carcinoma of the gallbladder

congenital diaphragmatic hernia

cushing syndrome

cystinuria

dystrophic epidermolysis bullosa

epidermolysis bullosa simplex

focal myositis

harlequin ichthyosis

heparin-induced thrombocytopenia

hirschsprung disease

homocystinuria without methylmalonic aciduria

inclusion body myositis

junctional epidermolysis bullosa

kindler syndrome

lamellar ichthyosis

locked-in syndrome

malignant atrophic papulosis

megacystis-microcolon-intestinal hypoperistalsis syndrome

monosomy 21

primary effusion lymphoma

primary hyperoxaluria type 1

pyomyositis

scrub typhus

systemic capillary leak syndrome

typhoid

This symptom has already been validated