title: Necrotizing fasciitis caused by Shewanella putrefaciens in a uremic patient.
abstract: Shewanella putrefaciens rarely causes infections in humans. This report describes a case of necrotizing fasciitis caused by S. putrefaciens in a uremic patient who recovered in spite of inadequate antibiotic treatment. S. putrefaciens is a possible causative organism of necrotizing fasciitis, and the absence of any sign of systemic infection cannot rule out the possibility of invasive infection in uremic patients. Surgical intervention is important in such cases.
authors.affiliation: Section of Rheumatology, Immunology and Allergy, Department of Internal Medicine, Chiayi Veterans Hospital, Chiayi, Taiwan. tsaivgh@ms38.hinet.net.
authors.forename: Tsung-Hung
authors.initials: TH
authors.lastname: Tsai
authors.forename: Hong-Yi
authors.initials: HY
authors.lastname: You
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D020614:Shewanella putrefaciens / Q000302:isolation & purification; D016896:Treatment Outcome; D014511:Uremia / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents