A case report of intracranial infection caused by Shewanella putrefaciens

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• 作者：Mengxi Duan (1)
  Dali Wang (2)
  Jing Wang (1)
  Xiaoguang Xiao (1)
  Lixia Han (1)
  Fenghua Zhang (1)
  
  1. Department of Clinical Laboratory ; The First Affiliated Hospital of Dalian Medical University ; 116011 ; Dalian ; China
  2. Department of Central Laboratory ; The Children hospital of Dalian ; Dalian ; China
  
• 关键词：Shewanella putrefaciens ; Intracranial infection ; 16S rDNA amplification assay
• 刊名：Neurological Sciences
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：36
• 期：4
• 页码：625-629
• 全文大小：454 KB
• 参考文献：1. Holt, HM, Gahrn-Hansen, B, Bruun, B (2005) Shewanella algae and Shewanella putrefaciens: clinical and microbiological characteristics. Clin Microbiol Infect 11: pp. 347-352 CrossRef
  2. Rouzic, N, H茅ry-Arnaud, G, Jaffuel, S, Garo, B, Payan, C, Garr茅, M (2012) Soft tissue infection associated with bacteremia caused by Shewanella putrefaciens. Pathol Biol (Paris) 60: pp. e27-e279 CrossRef
  3. Tucker, C, Baroso, G, Tan, P (2010) Ventilator-associated pneumonia due to Shewanella putrefaciens. Am J Health Syst Pharm 67: pp. 1007-1009 CrossRef
  4. Tsai, TH, You, HY (2006) Necrotizing fasciitis caused by Shewanella putrefaciens in a uremic patient. J Microbiol Immunol Infect 39: pp. 516-518
  5. Gressier, M, Mbayo, D, Deramond, H, Grados, F, Eb, F, Canarelli, B (2010) First case of human spondylodiscitis due to Shewanella algae. Int J Infect Dis 14: pp. e261-e264 CrossRef
  6. Mukhopadhyay, C, Chawla, K, Sharma, Y (2007) SHewanella algas emerging infection in southern lndia. J Clin Diagn Res 1: pp. 293-295
  7. Drancourt, M, Bollet, C, Carlioz, A, Martelin, R, Gayral, JP, Raoult, D (2000) 16S ribosomal DNA sequence analysis of a large collection of environmental and clinical unidentifiable bacterial isolates. J Clin Microbiol 38: pp. 3623-3630
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Neurology
  Neuroradiology
  Neurosurgery
  Psychiatry
  
• 出版者：Springer Milan
• ISSN：1590-3478

文摘

Shewanella putrefaciens is as yet reputed to be a rare conditional pathogen. In recent years, some clinical infections caused by Shewanella putrefaciens came into view, and it was possible for the bacteria to be isolated from blood, pus, urine, sputum, and wound secretions, etc. A transferred patient who suffered from intracranial infection after operation of cerebral hemorrhage was admitted in the First Affiliated Hospital of Dalian Medical University. To ascertain the cause, we assessed her blood, cerebrospinal fluid and sputum specimen, and succeeded in isolating one strain of bacteria from her cerebrospinal fluid. To circumvent the potential problem, further detection by Dade Behring Microscan WalkAway 96SI system and drug sensitivity identification plate was performed. Corresponding results indicated that the bacteria were certain pseudomonas with high drug resistance, only sensitive to ticarcillin/clavulanic acid and Imipenem. Eventually by 16S rDNA amplification assay, a new technique to identify pathogens genome, Shewanella putrefaciens infection was confirmed with 99 % coincidence rate. This is the first time in our hospital that Shewanella putrefaciens in the cerebrospinal fluid specimen was detected. When considering the increase of opportunistic infection, it is noteworthy to pay more attention to such situations in clinical diagnoses.