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Published on November 29, 2016 | http://doi.org/10.5867/medwave.2016.10.6642

Osteomyelitis due to Shewanella putrefaciens: case report and literature review

Osteomielitis por Shewanella putrefaciens: reporte de caso y revisión de literatura

Katia Guinetti-Ortiz , Alejandra Bocanegra-Jesús, Andrea Gómez de la Torre-del Carpio

Abstract

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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Authors

Katia Guinetti-Ortiz

Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Perú

katia.guinetti@gmail.com

Avenida Alameda San Marcos, Cuadra 2, Los Cedros de Villa, Chorrillos, Lima, Perú

Alejandra Bocanegra-Jesús

Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Perú

Andrea Gómez de la Torre-del Carpio

Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Perú

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History

Citation 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;16(10):e6642 doi: 10.5867/medwave.2016.10.6642

Submission date 23/08/2016

Acceptance date 01/11/2016

Publication date 29/11/2016

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Notes

Keywords

Shewanella putrefaciens, osteomyelitis, metatarsophalangeal joint

Origin and peer review

con revisión por dos pares revisores externos, a doble ciego

References

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