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sphingomonas paucimobilis bloodstream infections associated with contaminated intravenous fentanyl.nationally distributed medications from compounding pharmacies, which typically adhere to less stringent quality-control standards than pharmaceutical manufacturers, can lead to multistate outbreaks. we investigated a cluster of 6 patients in a maryland hospital who had sphingomonas paucimobilis bloodstream infections in november 2007. of the 6 case-patients, 5 (83%) had received intravenous fentanyl within 48 hours before bacteremia developed. cultures of unopened samples of fentanyl grew s. pa ...200919116043
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