Shewanella infection of snake bites: a twelve-year retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/40120 |
Resumo: | 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 fourthgeneration 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. |
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Clinics |
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Shewanella infection of snake bites: a twelve-year retrospective studyCobraShewanellaSnake BitesSoft Tissue InfectionsWound InfectionOBJECTIVE: 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 fourthgeneration 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.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2012-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/4012010.6061/clinics/2012(05)05Clinics; Vol. 67 No. 5 (2012); 431-435Clinics; v. 67 n. 5 (2012); 431-435Clinics; Vol. 67 Núm. 5 (2012); 431-4351980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/40120/42986Liu, Po-YuShi, Zhi-YuanLin, Chin-FuHuang, Jin-AnLiu, Jai-WenChan, Kun-WeiTung, Kwong-Chunginfo:eu-repo/semantics/openAccess2012-08-23T18:28:28Zoai:revistas.usp.br:article/40120Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-08-23T18:28:28Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Shewanella infection of snake bites: a twelve-year retrospective study |
title |
Shewanella infection of snake bites: a twelve-year retrospective study |
spellingShingle |
Shewanella infection of snake bites: a twelve-year retrospective study Liu, Po-Yu Cobra Shewanella Snake Bites Soft Tissue Infections Wound Infection |
title_short |
Shewanella infection of snake bites: a twelve-year retrospective study |
title_full |
Shewanella infection of snake bites: a twelve-year retrospective study |
title_fullStr |
Shewanella infection of snake bites: a twelve-year retrospective study |
title_full_unstemmed |
Shewanella infection of snake bites: a twelve-year retrospective study |
title_sort |
Shewanella infection of snake bites: a twelve-year retrospective study |
author |
Liu, Po-Yu |
author_facet |
Liu, Po-Yu Shi, Zhi-Yuan Lin, Chin-Fu Huang, Jin-An Liu, Jai-Wen Chan, Kun-Wei Tung, Kwong-Chung |
author_role |
author |
author2 |
Shi, Zhi-Yuan Lin, Chin-Fu Huang, Jin-An Liu, Jai-Wen Chan, Kun-Wei Tung, Kwong-Chung |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Liu, Po-Yu Shi, Zhi-Yuan Lin, Chin-Fu Huang, Jin-An Liu, Jai-Wen Chan, Kun-Wei Tung, Kwong-Chung |
dc.subject.por.fl_str_mv |
Cobra Shewanella Snake Bites Soft Tissue Infections Wound Infection |
topic |
Cobra Shewanella Snake Bites Soft Tissue Infections Wound Infection |
description |
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 fourthgeneration 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. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/40120 10.6061/clinics/2012(05)05 |
url |
https://www.revistas.usp.br/clinics/article/view/40120 |
identifier_str_mv |
10.6061/clinics/2012(05)05 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/40120/42986 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 67 No. 5 (2012); 431-435 Clinics; v. 67 n. 5 (2012); 431-435 Clinics; Vol. 67 Núm. 5 (2012); 431-435 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222758686162944 |