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1.
Diaz JH, 2014. Skin and soft tissue infections following marine injuries and exposures in travelers. J Travel Med 21: 207–213.
-
2.
Rouzic N, Héry-Arnaud G, Jaffuel S, Garo B, Payan C, Garré M, 2012. Soft tissue infection associated with bacteremia caused by Shewanella putrefaciens. Pathol Biol (Paris) 60: e27–e29.
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3.
Grocholski AS, Delage M, Samimi M, Maruani A, 2009. Acute dermohypodermitis of the right leg (S. putrefaciens) after sea bathing. Ann Dermatol Venereol 136: 59–60.
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4.
Patel R, Abraham A, Thomas J, Zhi W, Ahmed S, Verley J, 2012. A rare case of pneumonia caused by Shewanella putrefaciens. Case Rep Med 2012: 597301.
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5.
Duan M, Wang D, Wang J, Xiao X, Han L, Zhang F, 2015. A case report of intracranial infection caused by Shewanella putrefaciens. Neurol Sci 36: 625–629.
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6.
Süzük S, Yetener V, Ergüngör F, Balaban N, 2004. Cerebellar abscess caused by Shewanella putrefaciens. Scand J Infect Dis 36: 621–622.
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7.
Yilmaz G, Aydin K, Bektas D, Caylan R, Caylan R, Koksal I, 2007. Cerebellar abscess and meningitis, caused by Shewanella putrefaciens and Klebsiella pneumoniae, associated with chronic otitis media. J Med Microbiol 56: 1558–1560.
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8.
Nozue H, Hayashi T, Hashimoto Y, Ezaki T, Hamasaki K, Ohwada K, Terawaki Y, 1992. Isolation and characterization of Shewanella alga from human clinical specimens and emendation of the description of S. alga Simidu et al., 1990, 335. Int J Syst Bacteriol 42: 628–634.
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9.
Vignier N, Barreau M, Olive C, Baubion E, Théodose R, Hochedez P, Cabié A, 2013. Human infection with Shewanella putrefaciens and S. algae: report of 16 cases in Martinique and review of the literature. Am J Trop Med Hyg 89: 151–156.
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10.
Auburtin M, Wolff M, Charpentier J, Varon E, Le Tulzo Y, Girault C, Mohammedi I, Renard B, Mourvillier B, Bruneel F, Ricard JD, Timsit JF, 2006. Detrimental role of delayed antibiotic administration and penicillin-nonsusceptible strains in adult intensive care unit patients with pneumococcal meningitis: the PNEUMOREA prospective multicentre study. Crit Care Med 34: 2758–2765.
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11.
Finkelstein R, Oren I, 2011. Soft tissue infections caused by marine bacterial pathogens: epidemiology, diagnosis, and management. Curr Infect Dis Rep 13: 470–477.
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Case Report: Disseminated Shewanella algae Infection with Meningoencephalitis in a Traveler Secondary to Marine Injury in Madagascar
Caroline Brulliard
Caroline Brulliard
Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;
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Nicolas Traversier
Nicolas Traversier
Bacteriologie, Centre Hospitalier Universitaire Felix Guyon, Saint Denis, France
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Jérôme Allyn
Jérôme Allyn
Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;
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Christopher Schaeffer
Christopher Schaeffer
Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;
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Bruno Bouchet
Bruno Bouchet
Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;
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Nicolas Allou
Nicolas Allou
Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;
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Marine microorganisms such as Shewanella spp., Vibrio spp., and Aeromonas spp. can cause sepsis secondary to a wound infection in the context of swimming. These microorganisms are most often susceptible to fluoroquinolones. Here, we report a unique case of Shewanella algae bacteremia associated with meningoencephalitis and disseminated via hematogenous spread secondary to a skin injury. The patient suffered the injury while swimming in saline water during a cruise holiday in Madagascar, and she was initially treated with amoxicillin. The neurological evolution was unsatisfactory. Better knowledge of such infections (and especially of the context in which they occur), as well as greater familiarity with the susceptibility profile of different marine microorganisms would have allowed health professionals to provide presumptive microbiological diagnosis and effective treatment earlier.
Author Notes
Authors’ addresses: Caroline Brulliard, Jérôme Allyn, Cristopher Schaeffer, Bruno Bouchet, and Nicolas Allou, Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, La Réunion, France, E-mails: caroline.brulliard@chu-reunion.fr, jerome.allyn@chu-reunion.fr, schaefferchristopher1@gmail.com, bruno.bouchet@chu-reunion.fr, and nicolas.allou@hotmail.fr. Nicolas Traversier, Bactériologie, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, La Réunion, France, E-mail: nicolas.traversier@chu-reunion.fr.
Financial support: This work was internally funded.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Diaz JH, 2014. Skin and soft tissue infections following marine injuries and exposures in travelers. J Travel Med 21: 207–213.
-
2.
Rouzic N, Héry-Arnaud G, Jaffuel S, Garo B, Payan C, Garré M, 2012. Soft tissue infection associated with bacteremia caused by Shewanella putrefaciens. Pathol Biol (Paris) 60: e27–e29.
-
3.
Grocholski AS, Delage M, Samimi M, Maruani A, 2009. Acute dermohypodermitis of the right leg (S. putrefaciens) after sea bathing. Ann Dermatol Venereol 136: 59–60.
-
4.
Patel R, Abraham A, Thomas J, Zhi W, Ahmed S, Verley J, 2012. A rare case of pneumonia caused by Shewanella putrefaciens. Case Rep Med 2012: 597301.
-
5.
Duan M, Wang D, Wang J, Xiao X, Han L, Zhang F, 2015. A case report of intracranial infection caused by Shewanella putrefaciens. Neurol Sci 36: 625–629.
-
6.
Süzük S, Yetener V, Ergüngör F, Balaban N, 2004. Cerebellar abscess caused by Shewanella putrefaciens. Scand J Infect Dis 36: 621–622.
-
7.
Yilmaz G, Aydin K, Bektas D, Caylan R, Caylan R, Koksal I, 2007. Cerebellar abscess and meningitis, caused by Shewanella putrefaciens and Klebsiella pneumoniae, associated with chronic otitis media. J Med Microbiol 56: 1558–1560.
-
8.
Nozue H, Hayashi T, Hashimoto Y, Ezaki T, Hamasaki K, Ohwada K, Terawaki Y, 1992. Isolation and characterization of Shewanella alga from human clinical specimens and emendation of the description of S. alga Simidu et al., 1990, 335. Int J Syst Bacteriol 42: 628–634.
-
9.
Vignier N, Barreau M, Olive C, Baubion E, Théodose R, Hochedez P, Cabié A, 2013. Human infection with Shewanella putrefaciens and S. algae: report of 16 cases in Martinique and review of the literature. Am J Trop Med Hyg 89: 151–156.
-
10.
Auburtin M, Wolff M, Charpentier J, Varon E, Le Tulzo Y, Girault C, Mohammedi I, Renard B, Mourvillier B, Bruneel F, Ricard JD, Timsit JF, 2006. Detrimental role of delayed antibiotic administration and penicillin-nonsusceptible strains in adult intensive care unit patients with pneumococcal meningitis: the PNEUMOREA prospective multicentre study. Crit Care Med 34: 2758–2765.
-
11.
Finkelstein R, Oren I, 2011. Soft tissue infections caused by marine bacterial pathogens: epidemiology, diagnosis, and management. Curr Infect Dis Rep 13: 470–477.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 25 | 25 | 8 |
| Full Text Views | 307 | 84 | 0 |
| PDF Downloads | 93 | 15 | 0 |