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Crab bite causing shewanella putrefaciens infection: Introduction to a possibly deadly and emerging threat

机译:螃蟹咬伤导致沉肠普雷雷弗森感染:可能致命和新兴威胁的介绍

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Shewanella species are gram-negative bacteria found in warm, temperate regions and are normal microflora of the marine environment1. Human infections are unusual and have a restricted geographic distribution. Presentation: A 45 years old lady was bitten by a crab while preparing to cook it. She developed fever and swelling of the right thumb with hemoserous discharge and blackish discolouration.Upon examination, the thumb was erythematous and swollen with a hematoma filled blister formation over the dorsal aspect. Deblistering was done and fluid samples were sent for culture and sensitivity which later returned as Shewanella Putrefaciens. Empirically she was started on IV Augmentin. Discussion: Most common clinical manifestation associated with Shewanella spp are superficial soft tissue infection ~(1). Other reported clinical features are primary and secondary bacteremia, hepatobiliary, bone, joint and CNS infection, endocarditis, eye, ear and respiratory infection ~(2). Antibiotics susceptibility includes aminoglycosides, 3 ~(rd) and 4 ~(th) generation cephalosporins, carbapenems and fluoroquinolones ~(1). About 79% of patients have underlying conditions such as diabetes mellitus, venous congestion and heart failure; they are immunocompromised, as is our patient ~(3). Conclusion: Proper handling of seafood during preparation should be encouraged as a simple bite may turn deadly. Initiation of antibiotics according to suspected organisms should be performed to prevent worsening of soft tissue infections. References: Diaz, J.H, Lopez, F.A Skin, Soft Tissue and Systemic Bacterial Infections Following Aquatic Injuries and Exposures. The American Journal of the Medical Sciences, 349(3), 269275 Finkelstein,R, Oren,I. Soft Tissue Infections Caused by Marine Bacterial Pathogens: Epidemiology, Diagnosis, and Management. Current Infectious Disease Report (2011)13(5):470–477 N. Vignier et al; 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(1), 2013, pp. 151–156
机译:Shewanella物种是革兰阴性细菌,在温暖,温带地区,是海洋环境的正常微生物。人类感染是不寻常的,并且具有限制的地理分布。介绍:一名45岁的女士在准备烹饪时被螃蟹咬伤。她发育出右拇指的发烧和肿胀,含有溶血性排放和黑色的变色。检查,拇指是红斑狼疮,血肿填充泡罩形成在背面方面。 DeBlisting已经完成,送流体样品以培养和敏感性,后来作为沉甜腐败寄生。经验上,她开始于IV Augmentin。讨论:与沉肠SPP相关的最常见的临床表现是浅表软组织感染〜(1)。其他报道的临床特征是初级和次生菌血症,肝胆,骨,关节和CNS感染,心内腔,眼睛,耳和呼吸道感染〜(2)。抗生素易感性包括氨基糖苷,3〜(Rd)和4〜(Th)生成头孢菌素,碳癌和氟喹诺酮酮〜(1)。大约79%的患者有潜在的条件,如糖尿病,静脉充血和心力衰竭;他们是免疫功能,也是我们的病人〜(3)。结论:应鼓励在准备期间适当处理海鲜,因为一个简单的叮咬可能会致命。应进行根据疑似生物的抗生素引发,以防止软组织感染恶化。参考文献:Diaz,J.H,Lopez,F.a皮肤,软组织和水生损伤后的系统细菌感染。美国医学科学杂志,349(3),269275 Finkelstein,R,Oren,I。海洋细菌病原体引起的软组织感染:流行病学,诊断和管理。目前的传染病报告(2011)13(5):470-477 N.Vignier等;人类感染与沉肠普雷雷芬橡胶和藻类:藻类报告报告和文学审查的审查报告;是。 J. Trop。 Med。 HYG。,89(1),2013,PP。151-156

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