title: Shewanella alga bacteremia in two patients with lower leg ulcers.
abstract: The first Danish cases of Shewanella alga bacteremia in two patients with chronic lower leg ulcers are reported. Both patients were admitted to the hospital during the same month of a very warm summer and had been exposed to the same marine environment, thereby suggesting the same source of infection. Both patients survived; however, one of them had extensive myonecrosis, while the other patient had an uncomplicated course. The strains were initially believed to be Shewanella putrefaciens on the basis of key characteristics and results of the API 20NE identification system (bioMérieux, Marcy l'Etoile, France), but further genetic and physiological analyses identified them as Shewanella alga.
authors.affiliation: Department of Internal Medicine B, Hillerød Hospital, Denmark.
authors.forename: H
authors.initials: H
authors.lastname: Domínguez
authors.forename: B F
authors.initials: BF
authors.lastname: Vogel
authors.forename: L
authors.initials: L
authors.lastname: Gram
authors.forename: S
authors.initials: S
authors.lastname: Hoffmann
authors.forename: S
authors.initials: S
authors.lastname: Schaebel
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000188:drug therapy / Q000382:microbiology*; D002444:Cefuroxime / Q000627:therapeutic use; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy*; D006092:Gram-Negative Facultatively Anaerobic Rods / Q000302:isolation & purification*; D006801:Humans; D007866:Leg; D008297:Male; D008826:Microbial Sensitivity Tests; D012883:Skin Ulcer / Q000150:complications*
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D000667:Ampicillin; D002444:Cefuroxime