Author(s): Krsnik I, Arribalzaga K, Romanyk J
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Abstract Shewanella alga is a gram-negative bacillus found in all types of water as well as in a variety of tainted food. It has rarely been associated with human disease, either in healthy or in immunocompromised patients. We report a 66-year-old man with a multiple myeloma who developed a cellulitis in both forearms in the course of a Shewanella bacteremia. He had a renal insufficiency and was moderately neutropenic after chemotherapy (vincristine, adriamycin, dexamethasone). Outcome was good after treatment with ceftazidime-amikacin despite all the risk factors. Shewanella isolation may be clinically significant. Haematological patients constitute a group of risk as increasingly aggressive chemotherapy regimens are used. Clinical outcome is not necessarily bad.
This article was published in Haematologia (Budap)
and referenced in Journal of Clinical Case Reports