Infect Chemother.  2014 Dec;46(4):264-268. 10.3947/ic.2014.46.4.264.

A Case of Spontaneous Bacterial Peritonitis with Bacteremia Caused by Shewanella algae

• Kim BK
• Cho SY
• Kang B
• Kim IK
• Byun JH
• Park C
• Choi SM

• KMID: 2170497
• DOI: http://doi.org/10.3947/ic.2014.46.4.264

Abstract

Human infection caused by Shewanella algae is rare, which usually occurred after direct contact with seawater or ingestion of raw seafood in the immunocompromised host. There have been anecdotal reports about Shewanella infections in human, but their pathogenic role and microbiologic data are limited. Here, we report a fatal case of spontaneous bacterial peritonitis with bacteremia due to S. algae in a 57-year-old male with liver cirrhosis who had no history of exposure to seawater or raw seafood. Polymicrobial infection with Streptococcus mitis and Escherichia coli was combined and the patient died in spite of early appropriate antimicrobial therapy and early goal-directed therapy for sepsis.

Keyword

Bacteremia; Liver Cirrhosis; Peritonitis; Polymicrobial infection; Shewanella algae

MeSH Terms

Bacteremia*
Coinfection
Eating
Escherichia coli
Humans
Immunocompromised Host
Liver Cirrhosis
Male
Middle Aged
Peritonitis*
Seafood
Seawater
Sepsis
Shewanella*
Streptococcus mitis

Figure

• 

  Figure 1 (A) Abdomen X-ray at admission showed moderate ascites and mild paralytic ileus. Sengstaken Blakemore tube was inserted in stomach. (B) Follow up chest X-ray at the second hospital day showed bilateral perihilar ill-defined hazziness.

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