Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Necrotic Skin Infection by Sphingomonas Paucimobilis in Amazonia Region

Version 1 : Received: 11 December 2019 / Approved: 12 December 2019 / Online: 12 December 2019 (10:01:35 CET)

How to cite: Pichinelli Maffei, T.H.; Bussolaro, F.A.; Belaus, A.; Prevedello, A.; Thereza-Bussolaro, C. Necrotic Skin Infection by Sphingomonas Paucimobilis in Amazonia Region. Preprints 2019, 2019120170 (doi: 10.20944/preprints201912.0170.v1). Pichinelli Maffei, T.H.; Bussolaro, F.A.; Belaus, A.; Prevedello, A.; Thereza-Bussolaro, C. Necrotic Skin Infection by Sphingomonas Paucimobilis in Amazonia Region. Preprints 2019, 2019120170 (doi: 10.20944/preprints201912.0170.v1).

Abstract

Sphingomonas paucimobilis is an opportunist pathogen bacillus gram-negative aerobic with a rare occurrence. We present a case in an immunocompetent man successfully treated by surgical debridement, purulent drainage and with an associated course of antibiotics. A large necrotic infection, approximately 5 cm x 3 cm, in a 74-year-old man was identified. Empirical antibiotic therapy with ciprofloxacin 400mg EV 12/12 hours, associated with clindamycin 600mg EV 6/6 hours and pain control was done through dipyrone 1gr, tramadol 400 mg. Deep venous thrombosis was prevented through the prescription of enoxaparin 40mg subcutaneous once a day during hospitalization. The case was well illustrated with pictures throughout treatment. Complete healing was achieved after 90 days. Herein, we present a case of cutaneous contamination. The presented case is the third cutaneous contamination case reported in the literature and the first reported case in the Amazonia region in Brazil.

Keywords

sphingomonas; gram-negative bacterial infection; skin disease; bacterial

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