title: [Osteomyelitis due to Shewanella putrefaciens: case report and literature review].
abstract: Shewanella putrefaciens is a Gram-negative bacillus and marine pathogen that rarely causes disease in humans. We report a case of osteomyelitis by this organism in a 48-year-old male patient, who presented with pain and erythema of the right foot that was initially diagnosed as cellulitis and did not revert despite treatment. He was transferred to Lima where osteomyelitis was diagnosed and started on empirical treatment with partial regression. A biopsy and culture of the compromised area found S. putrefaciens. The infection was treated according to the antibiotic sensitivity profile of the pathogen. S. putrefaciens infection represents a rare opportunistic infection of devitalized or exposed areas of the body. It is associated with residence in coastal areas and commonly affects the skin and soft tissues. Exceptional cases of osteomyelitis have been reported, but this is the first that involves the metatarsal bones.
authors.affiliation: Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Perú. Address: Avenida Alameda San Marcos, Cuadra 2, Los Cedros de Villa, Chorrillos, Lima, Perú. Email: katia.guinetti@gmail.com.
authors.forename: Katia
authors.initials: K
authors.lastname: Guinetti-Ortiz
authors.affiliation: Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Perú.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Bocanegra-Jesús
authors.affiliation: Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Perú.
authors.forename: Andrea
authors.initials: A
authors.lastname: Gómez de la Torre-Del Carpio
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use*; D001706:Biopsy; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D010568:Peru; D020614:Shewanella putrefaciens / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents
keywords:  metatarsophalangeal joint;  osteomyelitis; Shewanella putrefaciens