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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Table 1. Minimum inhibitory concentrations required for antibiotic efficacy against Shewanella algae.

Antibiotics	MIC (μg/mL)	Antibiotics	MIC (μg/mL)	Antibiotics	MIC (μg/mL)	Antibiotics	MIC (μg/mL)
CEZ	>16	AZT	>8	CPFX	≤1	MEPM	≤0.25
FOM	>16	MINO	≤4	ST	≤2	CFPM	≤2
AMK	16	CAZ	2	A/S	≤8	P/T	≤8
CMZ	32	ABPC	16	LVFX	≤0.12
MIC – minimum inhibitory concentration; CEZ – cefazolin; FOM – fosfomycin; AMK – amikacin; CMZ – cefmetazole; AZT – aztreonam; MINO – minocycline; CAZ – ceftazidime; ABPC – ampicillin; CPFX – ciprofloxacin; ST – trimethoprim/sulfamethoxazole; A/S – ampicillin/ sulbactam; LVFX – levofloxacin; MEPM – meropenem; CFPM – cefepime; P/T – piperacillin/tazobactam.

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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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