Skip to main content

Advertisement

SpringerLink
Log in

Intestinal obstruction associated with chronic peritonitis caused by Sphingomonas paucimobilis

  • Case Report
  • Published:
Clinical Journal of Gastroenterology Aims and scope Submit manuscript

Abstract

We describe a very rare case of chronic peritonitis with secondary adhesive intestinal obstruction caused by Sphingomonas paucimobilis in a healthy 28-year-old Chinese man. This bacillus has not been described as a cause of spontaneous peritonitis in healthy people. It was an asymptomatic, generalized, and slow-growing peritonitis causing peritoneal adherens and at the end intestinal occlusion that needed surgical adhesiolysis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Reina J, Bassa A, Llompart I, Portela D, Borrel N. Infections with Pseudomonas paucimobilis: report of four cases and review. Rev Infect Dis. 1991;13:1072–6.

    Article  CAS  PubMed  Google Scholar 

  2. Holmes B, Owen RJ, Evans A, Malnick H, Willcox WR. Pseudomonas paucimobilis, a new species isolated from human clinical specimens, the hospital environment and other sources. Int J Syst Bacteriol. 1977;27:133–46.

    Article  Google Scholar 

  3. Hsueh PR, Teng LJ, Yang PC, Chen YC, Pan HJ, Ho SW, et al. Nosocomial infections caused by Sphingomonas paucimobilis: clinical features and microbiological characteristics. Clin Infect Dis. 1998;26:676–81.

    Article  CAS  PubMed  Google Scholar 

  4. Crane LR, Tagle LC, Palutke WA. Outbreak of Pseudomonas paucimobilis in an intensive care facility. JAMA. 1981;246:985–7.

    Article  CAS  PubMed  Google Scholar 

  5. Charity RM, Foukas AF. Osteomyelitis and secondary septic arthritis caused by Sphingomonas paucimobilis. Infection. 2005;33:93–5.

    Article  CAS  PubMed  Google Scholar 

  6. Perola O, Nousiainen T, Suomalainen S, Aukee A, Kärkkäinen UM, Kauppinen J, et al. Recurrent Sphingomonas paucimobilis-bacteraemia associated with a multi-bacterial water-borne epidemic among neutropenic patients. J Hosp Infect. 2002;50:196–201.

    Article  CAS  PubMed  Google Scholar 

  7. Al-Anazi KA, Jafar SA, Al-Jasser AM, Al-Shangeeti A, Chaudri NA, Al-Mohareb FI. Septic shock caused by Sphingomonas paucimobilis bacteremia in a patient with hematopoietic stem cell transplantation. Transpl Infect Dis. 2008;10:142–4.

    Article  CAS  PubMed  Google Scholar 

  8. Hajiroussou V, Holmes B, Bullas J, Pinning CA. Meningitis caused by Sphingomonas paucimobilis. J Clin Pathol. 1979;32:953–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Adams WE, Habib M, Berrington A, Koerner R, Steel DH. Postoperative endophthalmitis caused by Sphingomonas paucimobilis. J Cataract Refract Surg. 2006;32:1238–40.

    Article  PubMed  Google Scholar 

  10. Swann RA, Foulkes SJ, Holmes B, Young JB, Mitchell RG, Reeders ST. “Agrobacterium yellow group” and Pseudomonas paucimobilis causing peritonitis in patients receiving continuous ambulatory peritoneal dialysis. J Clin Pathol. 1985;38:1293–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Baddour LM, Kraus AP Jr, Smallen DL. Peritonitis due to Pseudomonas paucimobilis during ambulatory peritoneal dialysis. South Med J. 1985;78:366.

    Article  CAS  PubMed  Google Scholar 

  12. Phillips G, Felming LW, Stewart WK. Pseudomonas paucimobilis peritonitis in a patient on CAPD successfully treated with ciprofloxacin and netilmicin. Eur J Clin Microbiol Infect Dis. 1990;9:630–1.

    Article  CAS  PubMed  Google Scholar 

  13. Glupczynsky Y, Hansen W, Dratwa M, Tielemans C, Wens R, Collart F, et al. Pseudomonas paucimobilis peritonitis in patients treated by peritoneal dialysis. J Clin Microbiol. 1984;20:1225–6.

    Google Scholar 

  14. Dervisoglu E, Meric M, Kalender B, Sengul E. Sphingomonas paucimobilis peritonitis: a case report and literature review. Perit Dial Int. 2008;28:547–50.

    PubMed  Google Scholar 

  15. Rigby RJ, Hawley CM. Sclerosing peritonitis: the experience in Australia. Nephrol Dial Transplant. 1998;13:154–9.

    Article  CAS  PubMed  Google Scholar 

  16. Afthentopoulos IE, Passadakis P, Oreopoulos DG, Bargman J. Sclerosing peritonitis in continuous ambulatory peritoneal dialysis patients: one center’s experience and review of the literature. Adv Ren Replace Ther. 1998;5:157–67.

    Article  CAS  PubMed  Google Scholar 

  17. Courcoutsakis N, Souftas V, Thodis I, Vargemezis V, Prassopoulos P. Sclerosing peritonitis. Intern Med. 2008;47:1441–2.

    Article  PubMed  Google Scholar 

  18. Sheer TA, Runyon BA. Spontaneous bacterial peritonitis. Dig Dis. 2005;23:39–46.

    Article  PubMed  Google Scholar 

  19. Cristou L, Pappas G, Falagas ME. Bacterial infection-related morbidity and mortality in cirrhosis. Am J Gastroenterol. 2007;102:1510–7.

    Article  Google Scholar 

  20. Conn HO. Spontaneous bacterial peritonitis: variant syndromes. South Med J. 1987;80:1343–6.

    Article  CAS  PubMed  Google Scholar 

  21. Dhawan KD, Rajashekaraiah KR, Metzger WI, Rice TW, Kallick CA. Spontaneous bacterial peritonitis due to a group IIk-2 strain. J Clin Microbiol. 1980;11:492–5.

    CAS  PubMed  PubMed Central  Google Scholar 

  22. Pegg DJ, Owen AWMC. Gastrointestinal obstruction associated with Chlamydia trachomatis. Genitourin Med. 1990;66:26–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Oie S, Oomaki M, Yorioka K, Tatsumi T, Amasaki M, Fukuda T, et al. Microbial contamination of ‘sterile water’ used in Japanese hospitals. J Hosp Infect. 1998;38:61–5.

    Article  CAS  PubMed  Google Scholar 

  24. Anaissie EJ, Penzak SR, Dignani MC. The hospital water supply as a source of nosocomial infections. Arch Intern Med. 2002;162:1483–92.

    Article  PubMed  Google Scholar 

  25. Oie S, Makieda D, Ishida S, Okano Y, Kamiya A. Microbial contamination of nebulization solution and its measures. Biol Pharm Bull. 2006;29:503–7.

    Article  CAS  PubMed  Google Scholar 

  26. Szymańska J. Bacterial contamination of water in dental unit reservoirs. Ann Agric Environ Med. 2007;14:137–40.

    PubMed  Google Scholar 

  27. Lemaitre D, Elaichouni A, Hundhausen M, Claeys G, Vanhaesebrouck P, Vaneechoutte M, et al. Tracheal colonization with Sphingomonas paucimobilis in mechanically ventilated neonates due to contaminated ventilator temperature probes. J Hosp Infect. 1996;32:199–206.

    Article  CAS  PubMed  Google Scholar 

  28. Bourigault C, Daniel L, Jourdain S, Hardy E, Heriaud K, Virmaux M, et al. Contamination with Sphingomonas paucimobilis: about seven cases isolated in conservation and transport mediums of corneal grafts. Pathol Biol. 2007;55:127–30.

    Article  CAS  PubMed  Google Scholar 

  29. Norfleet RG, Mitchell PD, Mulholland DD, Philo J. Does bacteremia follow upper gastrointestinal endoscopy? Am J Gastroenterol. 1981;76:420–2.

    CAS  PubMed  Google Scholar 

  30. O’Connor HJ, Hamilton I, Lincoln C, Maxwell S, Axon AT. Bacteraemia with upper gastrointestinal endoscopy—a reappraisal. Endoscopy. 1983;15:21–3.

    Article  PubMed  Google Scholar 

  31. Schlaeffer F, Riesenberg K, Mikolich D, Sikuler E, Niv Y. Serious bacterial infections after endoscopic procedures. Arch Intern Med. 1996;156:572–4.

    Article  CAS  PubMed  Google Scholar 

  32. Marriott D, Stark D, Harkness J. Veillonella parvula discitis and secondary bacteremia: a rare infection complicating endoscopy and colonscopy? J Clin Microbiol. 2007;45:672–4.

    Article  CAS  PubMed  Google Scholar 

  33. Nelson DB. Infectious disease complications of GI endoscopy: Part I, endogenous infections. Gastrointest Endosc. 2003;57:446–56.

    Article  Google Scholar 

  34. Nelson DB. Infection control during gastrointestinal endoscopy. J Lab Clin Med. 2003;141:159–67.

    Article  PubMed  Google Scholar 

  35. Infection control during gastrointestinal endoscopy: guidelines for clinical application. From ASGE. American Society For Gastrointestinal Endoscopy. Gastrointest Endosc. 1999;49:836–41.

  36. Mani V, Cartwright K, Dooley J, Swarbrick I, Fairclough P, Oakley C. Antibiotic prophylaxis in gastrointestinal endoscopy: report by a working party for the British Society of Gastroenterology Endoscopy Committee. Endoscopy. 1997;29:114–9.

    Article  CAS  PubMed  Google Scholar 

  37. American Society For Gastrointestinal Endoscopy. Guidelines for antibiotic prophylaxis for GI endoscopy. Gastrointest Endosc. 2003;58:475–82.

    Article  Google Scholar 

  38. Barnett JL, Elta G. Bacterial peritonitis following endoscopic variceal sclerotherapy. Gastrointest Endosc. 1987;33:316–7.

    Article  CAS  PubMed  Google Scholar 

  39. Bac DJ, de Marie S, Siersema PD, Snobl J, van Buuren HR. Post-scleroterapy bacterial peritonitis: a complication of scleroterapy or of variceal bleeding? Am J Gastroenterol. 2000;89:859–62.

    Google Scholar 

  40. Lin OS, Wu SS, Chen YY, Soon MS. Bacterial peritonitis after elective endoscopic variceal ligation: a prospective study. Am J Gastroenterol. 2000;95:214–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank Mrs. Adriana Filippi and Mrs. Ornella Rosà for help in manuscript preparation.

Author information

Authors and Affiliations

  1. Operative Unit of Surgery, APSS of Trento, Arco Hospital, Via Capitelli 50/52, 38062, Arco (TN), Italy

    Alberto Di Leo & Francesco Ricci

  2. Laboratory of Clinical Pathology, APSS of Trento, Arco Hospital, Arco (TN), Italy

    Rosanna Busetti

  3. Operative Unit of Pathology, APSS of Trento, Rovereto Hospital, Rovereto (TN), Italy

    Teresa Pusiol, Francesco Piscioli & Ilaria Franceschetti

Authors
  1. Alberto Di Leo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rosanna Busetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Teresa Pusiol
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Francesco Piscioli
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ilaria Franceschetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Francesco Ricci
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alberto Di Leo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Di Leo, A., Busetti, R., Pusiol, T. et al. Intestinal obstruction associated with chronic peritonitis caused by Sphingomonas paucimobilis . Clin J Gastroenterol 2, 178–182 (2009). https://doi.org/10.1007/s12328-009-0066-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12328-009-0066-z

Keywords

Search

Navigation