Case of Sepsis and Probable Septic Arthritis with Plesiomonas Shigelloides in a Patient with Sickle Cell Anemia

We present a case of sepsis with probable septic arthritis due to Plesiomonas shigelloides in a 10 year old female with hemoglobin SC disease. There have been three other cases reported in pediatric sickle cell disease (SCD) patients. Awareness among clinicians regarding this Gram negative organism is important as it can cause serious invasive infection in SCD patients, including sepsis and involvement of joints, lungs and intraabdominal organs. Clinical suspicion with early microbiologic diagnosis and timely use of appropriate antibiotics are key to the management of this infection and prevention of associated morbidity.