Left Knee Septic Monoarthritis in a Pediatric Patient due to Shewanella putrefaciens: Case Report and Literature Review

Abstract

Abstract Background Shewanella putrefaciens is a gram-negative, non-fermenting, oxidase-positive, hydrogen sulfate-producing bacillus, a halophilic bacterium. Responsible for unusual infections in humans; considering itself an opportunistic germ in many patients. With varied symptoms in the literature, generating a significant impact on human health with a total of 260 disorders described in the literature in the last 40 years, which indicates the potential danger it represents. Case presentation: We present the case of a previously healthy 15-year-old male patient with a self-inflicted sharp-object injury while doing fieldwork and a secondary septic monoarthritis due to Shewanella putrefaciens. Conclusions We describe the bacteriological, and clinical characteristics and antibiogram of this bacteria spp since in recent years there has been an increase in notifications of Shewanella infections, mainly by S. algae and S. putrefaciens; which leads us to keep it in mind in patients whose clinical history shows evidence of contact with bodies of water due to the special resistance patterns that must be taken into account when managing these patients, so as not to induce intrinsic antimicrobial resistance.