A Rare Cause of Empyema and Bacteremia Due to Shewanella Species in Alcoholic Cirrhosis Patients: A Case Report and Comprehensive Review of Literature

Bohui Qian; Kazuhiro Ishikawa; Tomoaki Nakamura; Katsuhito Kinoshita; Tetsuhiro Masaki; Takahiro Matsuo; Fujimi Kawai; Nobuyoshi Mori

doi:10.12659/AJCR.941952

10 April 2024 : Case report Japan

A Rare Cause of Empyema and Bacteremia Due to Shewanella Species in Alcoholic Cirrhosis Patients: A Case Report and Comprehensive Review of Literature

Unusual clinical course

Bohui Qian^1BCDEF, Kazuhiro Ishikawa^1ABDEF*, Tomoaki Nakamura^2CDEF, Katsuhito Kinoshita^2CDEF, Tetsuhiro Masaki^1CF, Takahiro Matsuo^1ADE, Fujimi Kawai

^3ABF, Nobuyoshi Mori

^1DE

DOI: 10.12659/AJCR.941952

Am J Case Rep 2024; 25:e941952

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Figure 2. Clinical course of disease in our patient. Shewanella species was detected in both pleural effusion and blood cultures on the day of admission. We inserted a chest tube, and initiated piperacillin/tazobactam and vancomycin empirically and switched to ceftriaxone. As a result, the effusion was successfully treated. However, on hospitalization day 53, the patient died of aspiration pneumonia. WBC – white blood cell; CRP – C-reactive protein; VCM – vancomycin; P/T – piperacillin/tazobactam; CTRX – ceftriaxone; MEPM – meropenem; MINO – minocycline; S. algae – Shewanella algae.

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A Rare Cause of Empyema and Bacteremia Due to Shewanella Species in Alcoholic Cirrhosis Patients: A Case Report and Comprehensive Review of Literature

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