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Chromobacterium violaceum infection is usually confined to tropical and subtropical areas.¹ The most common feature of reported cases of human C violaceum infection is sepsis with a high mortality rate.² To our knowledge, there have been no reports on sepsis caused by C violaceum in the Japanese literature.

Report of a Case

A 59-year-old man with a 3-year history of well-controlled diabetes was admitted to our hospital on March 27, 1998, because of fever, nausea, and dyspnea. He complained of having had cellulitis in his right thigh 15 days before. Ten days of cephalosporin therapy had improved the cellulitis and inflammatory signs, as evidenced by a decrease in the white blood cell count from 13.9x10⁹/L to 7.9x10⁹/L and a decrease in the C-reactive protein level from 0.189 g/L to 0.006 g/L on March 23 in the outpatient clinic. However, fever, nausea, dyspnea, and oliguria developed. The patient was . . . [Full Text of this Article]

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