Shewanella alga bacteremia and associated cellulitis in a patient with multiple myeloma

Authors: Krsnik, Isabel; Arribalzaga, Karmele; Romanyk, Juan

Source: Haematologia, Volume 32, Number 1, 2002 , pp. 79-80(2)

Publisher: VSP, an imprint of Brill

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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. Wereport 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.

Keywords: cellulitis; myeloma; shewanella alga

Document Type: Case report

DOI: 10.1163/156855902760262808

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