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Article: Epidemiology and clinical features of Shewanella infection over an eight-year period

TitleEpidemiology and clinical features of Shewanella infection over an eight-year period
Authors
Issue Date2010
PublisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/00365548.asp
Citation
Scandinavian Journal Of Infectious Diseases, 2010, v. 42 n. 10, p. 757-762 How to Cite?
Abstract
Shewanella is a rare human pathogen that can lead to fatal infections. However, clinical information about this bacterium remains scarce. In this study, we retrospectively reviewed all patients with laboratory isolates of Shewanella over an 8-y period to assess risk factors, clinical manifestations and outcome. Twenty-nine patients were identified. Shewanella was most commonly isolated from intra-abdominal specimens (48.2%), followed by skin and soft tissue specimens (27.6%), blood (13.8%) and sputum (10.3%). Malignancy, hepatobiliary disease and diabetes mellitus were common underlying diseases. The overall 30-day mortality rate was 20.6%. Shewanella was considered a definite causative pathogen in 7 patients, and a recurrent infection occurred in 2 patients. Colonization of the biliary tract was common. Among co-isolated pathogens, the enteric flora was most represented. All isolates were susceptible to ceftazidime and aminoglycosides, but 1 isolate was resistant to imipenem. In conclusion, Shewanella may become a colonizing bacterium, subsequently causing invasive diseases in patients with an underlying disease. © 2010 Informa Healthcare.
Persistent Identifierhttp://hdl.handle.net/10722/130631
ISSN
2013 Impact Factor: 1.640
ISI Accession Number ID
References

 

Author Affiliations
  1. The University of Hong Kong
  2. Queen Mary Hospital Hong Kong
DC FieldValueLanguage
dc.contributor.authorTo, KKWen_HK
dc.contributor.authorWong, SSYen_HK
dc.contributor.authorCheng, VCCen_HK
dc.contributor.authorTang, BSFen_HK
dc.contributor.authorLi, IWSen_HK
dc.contributor.authorChan, JFWen_HK
dc.contributor.authorSeto, WKen_HK
dc.contributor.authorTse, Hen_HK
dc.contributor.authorYuen, KYen_HK
dc.date.accessioned2010-12-23T10:31:28Z-
dc.date.available2010-12-23T10:31:28Z-
dc.date.issued2010en_HK
dc.identifier.citationScandinavian Journal Of Infectious Diseases, 2010, v. 42 n. 10, p. 757-762en_HK
dc.identifier.issn0036-5548en_HK
dc.identifier.urihttp://hdl.handle.net/10722/130631-
dc.description.abstractShewanella is a rare human pathogen that can lead to fatal infections. However, clinical information about this bacterium remains scarce. In this study, we retrospectively reviewed all patients with laboratory isolates of Shewanella over an 8-y period to assess risk factors, clinical manifestations and outcome. Twenty-nine patients were identified. Shewanella was most commonly isolated from intra-abdominal specimens (48.2%), followed by skin and soft tissue specimens (27.6%), blood (13.8%) and sputum (10.3%). Malignancy, hepatobiliary disease and diabetes mellitus were common underlying diseases. The overall 30-day mortality rate was 20.6%. Shewanella was considered a definite causative pathogen in 7 patients, and a recurrent infection occurred in 2 patients. Colonization of the biliary tract was common. Among co-isolated pathogens, the enteric flora was most represented. All isolates were susceptible to ceftazidime and aminoglycosides, but 1 isolate was resistant to imipenem. In conclusion, Shewanella may become a colonizing bacterium, subsequently causing invasive diseases in patients with an underlying disease. © 2010 Informa Healthcare.en_HK
dc.languageengen_US
dc.publisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/00365548.aspen_HK
dc.relation.ispartofScandinavian Journal of Infectious Diseasesen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshAnti-Bacterial Agents - pharmacologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshGram-Positive Bacterial Infections - epidemiology - microbiology - mortality - physiopathologyen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMicrobial Sensitivity Testsen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPrognosisen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshShewanella - classification - drug effects - isolation & purification - pathogenicityen_HK
dc.titleEpidemiology and clinical features of Shewanella infection over an eight-year perioden_HK
dc.typeArticleen_HK
dc.identifier.emailTo, KKW: kelvinto@hkucc.hku.hken_HK
dc.identifier.emailWong, SSY: samsonsy@hkucc.hku.hken_HK
dc.identifier.emailChan, JFW: jfwchan@hku.hken_HK
dc.identifier.emailSeto, WK: wkseto2@hku.hken_HK
dc.identifier.emailTse, H: htse@hkucc.hku.hken_HK
dc.identifier.emailYuen, KY: kyyuen@hkucc.hku.hken_HK
dc.identifier.authorityTo, KKW=rp01384en_HK
dc.identifier.authorityWong, SSY=rp00395en_HK
dc.identifier.authorityChan, JFW=rp01736en_HK
dc.identifier.authoritySeto, WK=rp01659en_HK
dc.identifier.authorityTse, H=rp00519en_HK
dc.identifier.authorityYuen, KY=rp00366en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.3109/00365548.2010.490562en_HK
dc.identifier.pmid20524786en_HK
dc.identifier.scopuseid_2-s2.0-77956819449en_HK
dc.identifier.hkuros178247en_US
dc.identifier.hkuros213670-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77956819449&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume42en_HK
dc.identifier.issue10en_HK
dc.identifier.spage757en_HK
dc.identifier.epage762en_HK
dc.identifier.isiWOS:000282987100006-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridTo, KKW=14323807300en_HK
dc.identifier.scopusauthoridWong, SSY=13310021400en_HK
dc.identifier.scopusauthoridCheng, VCC=23670479400en_HK
dc.identifier.scopusauthoridTang, BSF=8908243000en_HK
dc.identifier.scopusauthoridLi, IWS=24464179500en_HK
dc.identifier.scopusauthoridChan, JFW=24278817900en_HK
dc.identifier.scopusauthoridSeto, WK=23390675900en_HK
dc.identifier.scopusauthoridTse, H=7006070596en_HK
dc.identifier.scopusauthoridYuen, KY=36078079100en_HK

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