Revista Biomédica Revisada Por Pares
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Palabras clave: Shewanella putrefaciens, osteomyelitis, metatarsophalangeal joint
Shewanella putrefaciens is a Gram-negative bacillus and marine pathogen that rarely causes disease in humans. We report a case of osteomyelitis by this organism in a 48-year-old male patient, who presented with pain and erythema of the right foot that was initially diagnosed as cellulitis and did not revert despite treatment. He was transferred to Lima where osteomyelitis was diagnosed and started on empirical treatment with partial regression. A biopsy and culture of the compromised area found S. putrefaciens. The infection was treated according to the antibiotic sensitivity profile of the pathogen. S. putrefaciens infection represents a rare opportunistic infection of devitalized or exposed areas of the body. It is associated with residence in coastal areas and commonly affects the skin and soft tissues. Exceptional cases of osteomyelitis have been reported, but this is the first that involves the metatarsal bones.
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Shewanella putrefaciens is a Gram-negative bacillus and marine pathogen that rarely causes disease in humans. We report a case of osteomyelitis by this organism in a 48-year-old male patient, who presented with pain and erythema of the right foot that was initially diagnosed as cellulitis and did not revert despite treatment. He was transferred to Lima where osteomyelitis was diagnosed and started on empirical treatment with partial regression. A biopsy and culture of the compromised area found S. putrefaciens. The infection was treated according to the antibiotic sensitivity profile of the pathogen. S. putrefaciens infection represents a rare opportunistic infection of devitalized or exposed areas of the body. It is associated with residence in coastal areas and commonly affects the skin and soft tissues. Exceptional cases of osteomyelitis have been reported, but this is the first that involves the metatarsal bones.
Autores:
Katia Guinetti-Ortiz[1], Alejandra Bocanegra-Jesús[1], Andrea Gómez de la Torre-del Carpio[1]
Citación: Guinetti-Ortiz K, Bocanegra-Jesús A, Gómez de la Torre-del Carpio A. Osteomyelitis due to Shewanella putrefaciens: case report and literature review. Medwave 2016 Nov;16(10):6642 doi: 10.5867/medwave.2016.10.6642
Fecha de envío: 23/8/2016
Fecha de aceptación: 1/11/2016
Fecha de publicación: 29/11/2016
Origen: no solicitado
Tipo de revisión: con revisión por dos pares revisores externos, a doble ciego
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