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 Case Reports |
| A Case of Shewanella algae Bacteremia Accompanying Cellulitis in Both Legs of a Patient on Hemodialysis: Case Report and Literature Review |
| Seong Tae Lee1, Seung June Lee1, Myung Jae Yun1, Hye- Jin Oh1, Na Ri Gang1, Myong-Sook Koo2, and Jae-Phil Choi1 |
| Departments of Internal Medicine1 and Diagnostic Laboratory Medicine2, Seoul Medical Center, Seoul, Korea |
Vol.44 Num.3 (p193~196)
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We report a fatal case of Shewanella algae bacteremia accompanied by cellulitis in both legs of a chronic renal failure patient who had not been exposed to sea water or raw fish. A 47-year-old male on hemodialysis was admitted to our clinic due to pain in both legs accompanied by a febrile sensation that started 2 days prior to his visit. A blood culture specimen revealed S. algae, a rare human opportunistic pathogen. In spite of early and appropriate antimicrobial treatment, the patient died of septic shock on the second day of his hospital stay. Recently, serious infections caused by Shewanella species have been reported in increasing frequency. Hepatobiliary diseases have been proposed as predisposing factors, not only for infection by this organism, but also for fatality. However, we should be aware of the significance of S. algae in patients with renal insufficiency, especially those on maintenance hemodialysis. Herein, we report our case with review relevant literature. |
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Keywords : Shewanella algae, Bacteremia, Cellulitis, Renal insufficiency |
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