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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
| ArticleTitle |
A Case Report of Shewanella haliotis Showing a Phlegmonous Inflammation of Right Lower Leg with Sepsis |
| Language |
J |
| AuthorList |
Kayoko Tadera1), Akiko Shimonaka1), Kiyofumi Ohkusu2), Daiichi Morii3), Junichi Shimohana1), Toshie Michinaka1), Kiyomi Taniyama4) |
| Affiliation |
1) Department of Clinical Laboratory, National Hospital Organization Kure Medical Center and Chugoku Cancer Center
2) Department of Microbiology, Gifu University of Graduate School of Medicine
3) Department of Intensive Care, National Hospital Organization Kure Medical Center and Chugoku Cancer Center
4) Institute for Clinical Research, National Hospital Organization Kure Medical Center and Chugoku Cancer Center |
| Publication |
J.J.C.M.: 20 (4), 239-244, 2010 |
| Received |
May 7, 2010 |
| Accepted |
September 29, 2010 |
| Abstract |
A 82-year-old man was presented to a local clinic with a chief complaint of difficulty in standing. He was diagnosed having a heart failure and transfered to our hospital. On the admission, chest X-ray and echocardiogram revealed mild enlargement of his heart, aortic regurgitation and mitral regurgitation. Physical examination showed purpura and swelling of his right lower leg with grasp tenderness and heat sensation. He was hospitalized with diagnosis of heart failure and right lower leg cellulitis. On the day 3, he became hypotensive with decreased level of consciousness and a septic shock. On the day 4, bulla formation and necrosis on the dorsum of the right foot appeared. Then, blood culture revealed Gram-negative curved rods. Colonies grown on the Thiosulfate Citrate Bile Salts Sucrose medium, were sucrose-non-fermenting and oxidase-positive. Vibrio vulnificus was suspected at first, but later, 16S rRNA genetic analysis revealed them as Shewanella haliotis, which were recently recognized Shewanella species. They were also isolated from bulla and considered as causative organisms of the septic cellulitis. The patient recovered from septic shock with antibiotic chemotherapy, but the right foot ulcer needed three months to heal. |
| Keywords |
Shewanella haliotis |
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