Pr. Hsueh et al., NOSOCOMIAL INFECTIONS CAUSED BY SPHINGOMONAS-PAUCIMOBILIS - CLINICAL-FEATURES AND MICROBIOLOGICAL CHARACTERISTICS, Clinical infectious diseases, 26(3), 1998, pp. 676-681
From January 1995 to September 1996, 14 isolates of Sphingomonas pauci
mobilis, including 11 from clinical specimens from six patients with n
osocomial infection and three from environmental sources, were collect
ed. Two of the six patients had intravascular catheter-related bactere
mia and one each had bacteremic biliary tract infection, urinary tract
infection, ventilator-associated pneumonia, and wound infection. The
S. paucimobilis isolates were identified according to biochemical prof
iles established with use of the API 20NE system and Vitek GNI card an
d the characteristic cellular fatty acid chromatogram. Ten biotypes, 1
1 antibiograms (by the Etest), and 12 random amplified polymorphic DNA
(RAPD) patterns (by arbitrarily primed polymerase chain reaction) wer
e identified. The identical biotype, antibiogram, and RAPD pattern of
the two isolates (one each from blood and bile) from a patient with bi
liary tract infection indicated the invasiveness of the organism. Two
patients with intravascular catheter-related bacteremia had isolates o
f this organism repeatedly recovered, and these isolates had heterogen
eous RAPD patterns. The present study highlights the wide distribution
in hospital environments of various clones of S. paucimobilis, which
may cause recurrent infections by a single strain or several episodes
of infection due to two or more clones of this organism in hospitalize
d patients.