Shewanella infection in decompensated liver disease: a septic case
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Accession number;07A0177217
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| Title;Shewanella infection in decompensated liver disease: a septic case |
| Author;
OTSUKA TAIGA
(Karatsu Red Cross Hospital, Saga, Jpn)
NODA TAKAHIRO
(Karatsu Red Cross Hospital, Saga, Jpn)
NOGUCHI AKINORI
(Karatsu Red Cross Hospital, Saga, Jpn)
NAKAMURA HARUKI
(Karatsu Red Cross Hospital, Saga, Jpn)
IBARAKI KAZUO
(Karatsu Red Cross Hospital, Saga, Jpn)
YAMAOKA KOTARO
(Karatsu Red Cross Hospital, Saga, Jpn)
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Journal Title;J Gastroenterol
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Journal Code:Z0748A
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ISSN:0944-1174
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VOL.42;NO.1;PAGE.87-90(2007)
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| Figure&Table&Reference; |
| Pub. Country;Japan |
| Language;English |
| Abstract;Shewanella species are an unusual cause of disease in humans. However, reports of Shewanella infections have been increasing, and hepatobiliary disease has been proposed as a predisposing factor following a critical course. We report the first Japanese septic case of decompensated liver disease in which this bacterium acted as a definite pathogen. A 67-year-old Japanese man with primary sclerosing cholangitis was admitted to our hospital complaining of fever, general fatigue, pain, and a rash on the lower left extremity. He was tentatively diagnosed with necrotizing fasciitis caused by Vibrio vulnificus because of his decompensated cirrhotic liver and history of consuming raw fish. Thereafter, the diagnosis was altered to cellulitis and Shewanella septicemia on the basis of the characteristics of his skin lesion and an arterial blood culture. He died of multiple organ failure on the eleventh day in the hospital. Since several reports have demonstrated that Shewanella can cause lethal sepsis in patients with hepatobiliary disease, we should be aware of the pathogenicity of this bacterium. (author abst.) |
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