Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor
To the Editor: Cellulitis-associated sepsis
is usually due to gram-positive organisms such as group A streptococci or Staphylococcus aureus. This report describes the case of
an elderly man with cellulitis and sepsis due to Sphingobacterium
spiritivorum the patient most likely acquired from walking barefoot
in his back yard.
A 72-year-old man with Parkinson disease presented with acute onset
of fever, chills, leg redness, and confusion. Vital signs were: temperature,
38.8°C; pulse, 90/min; respirations, 40/min; and blood pressure, 95/57
mm Hg. Physical examination revealed marked erythema and warmth of the entire
right leg without crepitus, discharge, or bullae. There was evidence of chronic
venous stasis, onychomycosis, and intertriginous cracking of the toes. The
white blood cell count was 26 100 cells/mm3 with 66% neutrophils
and 33% band forms. Computed tomography of the leg revealed evidence of cellulitis
without abscess, myositis, or fasciitis.
Marinella MA. Cellulitis and Sepsis Due to Sphingobacterium. JAMA. 2002;288(16):1985. doi:10.1001/jama.288.16.1981