A rare case of<i>Shewanella</i>septicemia: risk factors, environmental associations and management

Latif, Azka; Kapoor, Vikas; Vivekanandan, Renuga; Reddy, Joseph Thilumala

doi:10.1136/bcr-2019-230252

Cited by 12 publications

(10 citation statements)

References 10 publications

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“…It is more likely to produce severe septicemia in patients with chronic liver disease. 2 , 5 , 6 Other risk factors for severe Shewanella infections are chronic kidney disease, venous stasis, and diabetes. Skin and soft tissue infections, with or without subsequent bacteremia, are the most common presentations of Shewanella infections.…”

Section: Discussionmentioning

confidence: 99%

An uncommon cause of soft tissue and knee infection after penetrating injury in a non-immunocompromised adolescent male

Bryant

Ellenwood

Butters³

et al. 2021

SAGE Open Medical Case Reports

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Non-cholerae Vibrio species and Shewanella species are organisms that rarely infect humans. Symptoms can range from gastroenteritis to wound infections to septicemia. In addition, these infections can lead to multiple poor outcomes ranging from amputations to death. We present a case of an 11-year-old male with prepatellar bursitis of the right knee due to Vibrio parahaemolyticus and Shewanella algae following an open wound in the Gulf of Mexico complicated by retained oyster shell fragments. He completely recovered after removal of the foreign bodies and organism-directed antimicrobial therapy with ciprofloxacin and doxycycline.

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Section: Discussionmentioning

confidence: 99%

An uncommon cause of soft tissue and knee infection after penetrating injury in a non-immunocompromised adolescent male

Bryant

Ellenwood

Butters³

et al. 2021

SAGE Open Medical Case Reports

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show abstract

“…Predominantly, the bacterium is associated with skin and soft-tissue infections ( Brink et al., 1995 ; Chen et al., 1997 ; Yohe et al., 1997 ; Papanaoum et al., 1998 ; Pagani et al., 2003 ; Bulut et al., 2004 ; Otsuka et al., 2007 ; Sharma and Kalawat, 2010 ; Prinja et al., 2013 ; Mohr et al., 2016 ; Ryan et al., 2018 ; Latif et al., 2019 ; Patel et al., 2020 ). Under certain circumstances, these can take fatal courses up to necrotizing fasciitis ( Yim et al., 2010 ; Giroux et al., 2017 ) and the development of a Fournier’s gangrene ( Tang et al., 2016 ).…”

Section: Clinical Features and Risc Factors For Shewanella ...mentioning

confidence: 99%

Shewanella putrefaciens, a rare human pathogen: A review from a clinical perspective

Müller

Bonin²,

Schneider³

et al. 2023

Front. Cell. Infect. Microbiol.

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Shewanella putrefaciens is a gramnegative, facultatively anaerobic, rod shaped bacterium. It belongs to the class of the Gammaproteobacteria and was first described in 1931. S. putrefaciens is part of the marine microflora and especially present in moderate and warm climates. The bacterium is a rare oppurtonistic human pathogen associated mainly with intra-abdominal as well as skin and soft tissue infections. However, it has also been reported in association with more severe diseases such as pneumonia, intracerebral and ocular infections and endocarditis. In these cases the clinical courses are often associated with underlying, predisposing diseases and risk factors. For successful treatment of S. putrefaciens, a combination of appropriate local therapy, e.g. surgical treatment or drainage, and antibiotic therapy should be performed. Since multiple resistances to antibiotics are described, the results of the antimicrobial susceptibility testing must be considered for effective therapy as well. Furthermore, a main challenge in clinical practice is the accurate microbiological identification, and especially the correct differentiation between S. putrefaciens and S. algae. Under certain circumstances, Shewanella-infections can have severe, sometimes even fatal consequences. Therefore, we decided to present the current state of knowledge as well as further aspects with regard to future diagnostics, therapy and research.

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“…In fact, a plasmid harbouring several ARGs has been recently identified in Shewanella xiamenensis [ 319 ]. Although serious infections caused by Shewanella have been described [ 320 , 321 ], the rarity of these infections means that treatment guidelines have not been defined yet.…”

Section: Emerging Opportunistic Pathogens With Environmental Originmentioning

confidence: 99%

Coming from the Wild: Multidrug Resistant Opportunistic Pathogens Presenting a Primary, Not Human-Linked, Environmental Habitat

Sanz-García

Gil-Gil

Laborda

et al. 2021

IJMS

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The use and misuse of antibiotics have made antibiotic-resistant bacteria widespread nowadays, constituting one of the most relevant challenges for human health at present. Among these bacteria, opportunistic pathogens with an environmental, non-clinical, primary habitat stand as an increasing matter of concern at hospitals. These organisms usually present low susceptibility to antibiotics currently used for therapy. They are also proficient in acquiring increased resistance levels, a situation that limits the therapeutic options for treating the infections they cause. In this article, we analyse the most predominant opportunistic pathogens with an environmental origin, focusing on the mechanisms of antibiotic resistance they present. Further, we discuss the functions, beyond antibiotic resistance, that these determinants may have in the natural ecosystems that these bacteria usually colonize. Given the capacity of these organisms for colonizing different habitats, from clinical settings to natural environments, and for infecting different hosts, from plants to humans, deciphering their population structure, their mechanisms of resistance and the role that these mechanisms may play in natural ecosystems is of relevance for understanding the dissemination of antibiotic resistance under a One-Health point of view.

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A rare case ofShewanellasepticemia: risk factors, environmental associations and management

Cited by 12 publications

References 10 publications

An uncommon cause of soft tissue and knee infection after penetrating injury in a non-immunocompromised adolescent male

An uncommon cause of soft tissue and knee infection after penetrating injury in a non-immunocompromised adolescent male

Shewanella putrefaciens, a rare human pathogen: A review from a clinical perspective

Coming from the Wild: Multidrug Resistant Opportunistic Pathogens Presenting a Primary, Not Human-Linked, Environmental Habitat

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