Document Detail

Shewanella infection of snake bites: a twelve-year retrospective study.
MedLine Citation:
PMID:  22666785     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Infections of snake bite wounds by Shewanella are rarely discussed in the medical literature. This study aims to characterize the presentation and management of Shewanella infections in snake bite wounds.
METHOD: We retrospectively investigated the microbiology, clinical features, and outcomes of patients with Shewanella infected snake bite wounds admitted to a tertiary medical center from January 1998 to December 2009.
RESULTS: Ten patients with Shewanella-infected snake bite wounds were identified. All of the snake bites were caused by cobras. The majority of patients had moderate to severe local envenomation and polymicrobial infections. Shewanella isolates are susceptible to ampicillin-sulbactam, piperacillin-tazobactam, third-and fourth-generation cephalosporins, carbapenems, aminoglycosides, and quinolones but are resistant to penicillin and cefazolin. All of the patients examined had favorable outcomes.
CONCLUSION: It is recommended that Shewanella infection be considered in snake bite patients, especially when patients present with moderate to severe local envenomation.
Po-Yu Liu; Zhi-Yuan Shi; Chin-Fu Lin; Jin-An Huang; Jai-Wen Liu; Kun-Wei Chan; Kwong-Chung Tung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinics (São Paulo, Brazil)     Volume:  67     ISSN:  1980-5322     ISO Abbreviation:  Clinics (Sao Paulo)     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-05     Completed Date:  2013-02-25     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101244734     Medline TA:  Clinics (Sao Paulo)     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  431-5     Citation Subset:  IM    
Taichung Veterans General Hospital, Department of Internal Medicine, Section of Infectious Diseases, Taichung, Taiwan.
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MeSH Terms
Aged, 80 and over
Anti-Bacterial Agents / therapeutic use
Gram-Negative Bacterial Infections / microbiology*
Middle Aged
Retrospective Studies
Snake Bites / microbiology*
Wound Infection / drug therapy,  microbiology*
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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