Metachronous occurrence of cellulitis with bacteremia caused by rare glucose non-fermentative bacilli, Sphingobacterium spp. and Myroides spp.

Cellulitis is one of the most common forms of skin and soft tissue infections, historically attributed primarily to beta-hemolytic streptococci and Staphylococcus aureus. While Gram-negative organisms, particularly non-fermenting Gram-negative bacilli (NFGNB), are ubiquitous in soil and aquatic ecosystems, they are rarely isolated from clinical specimens in cellulitis cases. We report the first case of metachronous cellulitis caused by two species of NFGNB: Sphingobacterium spp. and Myroides spp.