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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.

Report of a Case

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.

The patient was recusitated with saline and received 1.5 . . . [Full Text of this Article]