Skin and soft-tissue manifestations of Shewanella putrefaciens infection

Yao Shen Chen, Yung Ching Liu, Muh Yong Yen, Jen Hsien Wang, Jao Hsien Wang, Shue Ren Wann, Deh Lin Cheng

Research output: Contribution to journalArticle

88 Citations (Scopus)

Abstract

Shewanella putrefaciens, a saprophytic gram-negative rod, is infrequently recovered from clinical specimens. Although a number of clinical syndromes have been attributed to S. putrefaciens, the pathogenic role of this agent remains largely undefined. We report 16 cases of S. putrefaciens infection that occurred at the Veterans General Hospital-Kaohsiung in Taiwan between 1990 and 1995. S. putrefaciens infection was associated with a wide clinical spectrum including bacteremia/septicemia, skin and soft-tissue infection, biliary tract infection, peritonitis, and empyema. Five of our patients had skin and soft-tissue manifestations, including fulminant periorbitofacial cellulitis, dacryocystitis, perineal abscess, finger abscess, and postcholecystectomy wound infection. These clinical features deviated from the chronic ulcers or infected burns of the lower extremities that have been described in previous reports. Seven (44%) of our 16 patients had bacteremia/septicemia, and all seven had underlying hepatobiliary diseases. S. putrefaciens was isolated in mixed cultures of specimens from 14 patients; Escherichia coli was the most common coisolate. Hepatobiliary diseases and malignancy were the major predisposing factors for S. putrefaciens infection of the biliary tract and S. putrefaciens bacteremia/septicemia.

Original languageEnglish
Pages (from-to)225-229
Number of pages5
JournalClinical Infectious Diseases
Volume25
Issue number2
Publication statusPublished - 1997
Externally publishedYes

Fingerprint

Shewanella putrefaciens
Skin
Infection
Bacteremia
Sepsis
Biliary Tract
Abscess
Dacryocystitis
Veterans Hospitals
Soft Tissue Infections
Empyema
Cellulitis
Wound Infection
Peritonitis
Taiwan
Burns
General Hospitals
Causality
Fingers
Ulcer

ASJC Scopus subject areas

  • Immunology

Cite this

Chen, Y. S., Liu, Y. C., Yen, M. Y., Wang, J. H., Wang, J. H., Wann, S. R., & Cheng, D. L. (1997). Skin and soft-tissue manifestations of Shewanella putrefaciens infection. Clinical Infectious Diseases, 25(2), 225-229.

Skin and soft-tissue manifestations of Shewanella putrefaciens infection. / Chen, Yao Shen; Liu, Yung Ching; Yen, Muh Yong; Wang, Jen Hsien; Wang, Jao Hsien; Wann, Shue Ren; Cheng, Deh Lin.

In: Clinical Infectious Diseases, Vol. 25, No. 2, 1997, p. 225-229.

Research output: Contribution to journalArticle

Chen, YS, Liu, YC, Yen, MY, Wang, JH, Wang, JH, Wann, SR & Cheng, DL 1997, 'Skin and soft-tissue manifestations of Shewanella putrefaciens infection', Clinical Infectious Diseases, vol. 25, no. 2, pp. 225-229.
Chen YS, Liu YC, Yen MY, Wang JH, Wang JH, Wann SR et al. Skin and soft-tissue manifestations of Shewanella putrefaciens infection. Clinical Infectious Diseases. 1997;25(2):225-229.
Chen, Yao Shen ; Liu, Yung Ching ; Yen, Muh Yong ; Wang, Jen Hsien ; Wang, Jao Hsien ; Wann, Shue Ren ; Cheng, Deh Lin. / Skin and soft-tissue manifestations of Shewanella putrefaciens infection. In: Clinical Infectious Diseases. 1997 ; Vol. 25, No. 2. pp. 225-229.
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