title: Shewanella putrefaciens, a rare cause of splenic abscess.
abstract: Splenic abscess is uncommon and is still associated with significant morbidity and mortality. Gram-negative bacilli are the most commonly isolated organisms, followed by Gram-positive cocci. However, the predominant organisms found depend on the geographic location. Shewanella putrefaciens is a Gram-negative non-fermentative oxidative bacillus found in the environment. Infection usually manifests with a number of clinical syndromes, most commonly as skin or soft tissue infections, typically in patients whose immune system is compromised. Intra-abdominal abscess is extremely rare. We report a case of a 22-year-old female who presented with S. putrefaciens splenic abscesses as the first manifestation of diabetes mellitus, which was successfully managed with a course of antibiotic therapy.
authors.affiliation: Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam.
authors.forename: Norwani
authors.initials: N
authors.lastname: Basir
authors.forename: Alice Moi Ling
authors.initials: AM
authors.lastname: Yong
authors.forename: Vui Heng
authors.initials: VH
authors.lastname: Chong
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D048909:Diabetes Complications / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D011860:Radiography, Abdominal; D020614:Shewanella putrefaciens / Q000302:isolation & purification*; D013158:Splenic Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents