Preprint Case Report Version 1 This version is not peer-reviewed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.

Subject Areas

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

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