Left knee septic monoarthritis in a pediatric patient due to shewanella putrefaciens: case report and literature review.

IF 4.6 2区医学 Q1 MICROBIOLOGY

Annals of Clinical Microbiology and Antimicrobials Pub Date : 2024-05-10 DOI:10.1186/s12941-024-00702-6

Nathalie Yepes Madrid, Luis Fernando Mejia, José Fernando Gomez Urrego

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引用次数: 0

Abstract

Background: Shewanella putrefaciens is a gram-negative, nonfermenting, oxidase-positive, hydrogen sulfide-producing bacillus and a halophilic bacterium, known for causing unusual infections in humans and often regarded as an opportunistic pathogen. Its diverse symptoms have a significant impact on human health, with 260 documented disorders reported in the literature over the last 40 years, highlighting its potential danger.

Case presentation: We present the case of a previously healthy 15-year-old male patient who sustained a self-inflicted sharp-object injury while working in the field, resulting in secondary septic monoarthritis due to Shewanella putrefaciens.

Conclusions: This case highlights the bacteriological and clinical characteristics, as well as the antibiogram, of Shewanella spp. Given the recent increase in notifications of Shewanella infections, predominantly by S. algae and S. putrefaciens, it is essential to consider these pathogens in patients with a history of contact with bodies of water. Special attention must be paid to their resistance patterns in patient management to prevent the development of intrinsic antimicrobial resistance.

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一名儿童患者的左膝化脓性单关节炎是由腐生雪旺菌引起的：病例报告和文献综述。

背景：普氏希瓦菌（Shewanella putrefaciens）是一种革兰氏阴性、不发酵、氧化酶阳性、产硫化氢的杆菌和嗜盐细菌，以引起人类异常感染而闻名，通常被视为机会性病原体。它的症状多种多样，对人类健康有重大影响，在过去的 40 年中，文献报道了 260 种病症，突显了其潜在的危险性：我们介绍的病例是一名原本健康的 15 岁男性患者，他在野外工作时不慎被锐器所伤，导致继发性化脓性单关节炎，病原体是腐生雪旺菌：本病例强调了雪旺菌属的细菌学和临床特征以及抗生素谱。鉴于最近雪旺菌感染（主要是藻雪旺菌和腐生雪旺菌）的病例增多，对于有水体接触史的患者，必须考虑这些病原体。在患者管理中必须特别注意这些病原体的耐药性模式，以防止产生内在的抗菌药耐药性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Clinical Microbiology and Antimicrobials MICROBIOLOGY-

CiteScore

8.60

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Annals of Clinical Microbiology and Antimicrobials considers good quality, novel and international research of more than regional relevance. Research must include epidemiological and/or clinical information about isolates, and the journal covers the clinical microbiology of bacteria, viruses and fungi, as well as antimicrobial treatment of infectious diseases. Annals of Clinical Microbiology and Antimicrobials is an open access, peer-reviewed journal focusing on information concerning clinical microbiology, infectious diseases and antimicrobials. The management of infectious disease is dependent on correct diagnosis and appropriate antimicrobial treatment, and with this in mind, the journal aims to improve the communication between laboratory and clinical science in the field of clinical microbiology and antimicrobial treatment. Furthermore, the journal has no restrictions on space or access; this ensures that the journal can reach the widest possible audience.