Patients with peritonitis present with abdominal pain, diarrhea, fever, and turbid peritoneal dialysis (PD) fluid. Shewanella algae peritonitis has not yet been reported in PD patients in the literature. We present the first 2 cases of Shewanella algae peritonitis in PD patients. Mupirocin cream is applied on the exit site as prophylactic antibiotic therapy.
DerbyH.A., HammerH.A.Bacteriology of butter. IV: Bacteriological studies on surface taint butter.Iowa Agric Exp Station Res Bull1931; 145: 389–416.
2.
ShewanJ.M., HobbsG., HodgkissW.A determinative scheme for the identification of certain genera of gram-negative bacteria, with special reference to the Pseudomonadaceae.J Appl Bacteriol1960; 23: 379–90.
3.
SimuduU.K., Kita-TsukamotoT., Yasumoto, YotsuM.Taxonomy of four marine bacterial strains that produce tetrodotoxin.Int J Syst Bacteriol1990; 40: 331–6.
4.
NozueH., HayashiT., HashimotoY., EzakiT., HamaskiK., OhwadaK.Isolation and characterization of Shewanella alga from human clinical specimens and emendation of the description of S. alga Simidu et al., 1990, 335.Int J Syst Bacteriol1992; 42: 628–34.
5.
KhasheS., JandaJ.M.Biochemical and pathogenic properties of Shewanella alga and Shewanella putrefaciens.J Clin Microbiol1998; 36: 783–7.
6.
HoltH.M., Gahrn-HansenB., BruunB.Shewanella algae and Shewanella putrefaciens: clinical and microbiological characteristics.Clin Microbiol Infect2005; 11: 347–52.
7.
YimS.Y., KangY.S., ChaD.R., ParkD.W., YounY.K., JoY.M.Fatal PD peritonitis, necrotizing fasciitis, and bacteremia due to Shewanella putrefaciens.Perit Dial Int2010; 30(6): 667–9.
DanM., GutmanR., BiroA.Peritonitis caused by P. putrefaciens in patients undergoing continuous ambulatory PD.Clin Infect Dis1992; 14: 359–60.
10.
VickersJ.A., UllianM.E.Recurrent Shewanella putrefacians peritonitis in a chronic peritoneal dialysis patient.Dial Transplant2011; 168–70.
11.
KimD.M., KangC.I., LeeC.S., KimH.B., KimE.C., KimN.J.Treatment failure due to emergence of resistance to carbapenem during therapy for Shewanella algae bacteremia.J Clin Microbiol2006; 44(3): 1172–4.
12.
HeritierC., PoirelL., NordmannP.Genetic and biochemical characterization of a chromosome-encoded carbapenem-hydrolyzing ambler class D beta-lactamase from Shewanella alga.Antimicrob Agents Chemother2004; 48: 1670–5.
13.
ChangC.F., ChenT.L., ChenT.W., YangW.C., LinC.C.Recurrent dialysis associated Aeromonas hydrophilia peritonitis: reports of 2 cases and review of the literature.Perit Dial Int2005; 25: 496–9.