Shewanella putrefaciens, an emerging foe from climate change: a case report

Abstract Background Shewanella putrefaciens is a Gram negative, facultatively anerobic bacterium commonly found in aquatic environments and is associated with decomposing organic matter. Although typically nonpathogenic, it has been recognized as an opportunistic pathogen capable of causing rare inf...

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Main Authors: Francesca Di Bartolomeo, Riccardo Ligresti, Sofia Pettenuzzo, Teresa Bini, Camilla Tincati, Giulia Carla Marchetti
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Journal of Medical Case Reports
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Online Access:https://doi.org/10.1186/s13256-025-05100-w
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author Francesca Di Bartolomeo
Riccardo Ligresti
Sofia Pettenuzzo
Teresa Bini
Camilla Tincati
Giulia Carla Marchetti
author_facet Francesca Di Bartolomeo
Riccardo Ligresti
Sofia Pettenuzzo
Teresa Bini
Camilla Tincati
Giulia Carla Marchetti
author_sort Francesca Di Bartolomeo
collection DOAJ
description Abstract Background Shewanella putrefaciens is a Gram negative, facultatively anerobic bacterium commonly found in aquatic environments and is associated with decomposing organic matter. Although typically nonpathogenic, it has been recognized as an opportunistic pathogen capable of causing rare infections in humans, particularly immunocompromised individuals or those with underlying health conditions. Case presentation We report the case of a 74-year-old white Italian female who developed a soft tissue infection after sustaining a leg injury and subsequently bathing in the coastal waters of Valencia, Spain. Despite initial treatment with amoxicillin/clavulanic acid and wound debridement, the infection persisted. Microbiological analysis revealed the presence of Shewanella putrefaciens and Bacteroides fragilis. The patient required a second-line antibiotic regimen with ciprofloxacin, which successfully resolved the infection, although the patient experienced chronic ankle edema owing to underlying lymphatic insufficiency. Conclusion This case underscores several critical considerations: the emerging pathogenic potential of S. putrefaciens, the implications of environmental antibiotic resistance, and the increased risk of such infections in the context of global warming and rising sea temperatures. With climate change contributing to warmer aquatic environments, the proliferation of marine bacteria, such as S. putrefaciens, may lead to a growing number of opportunistic infections, emphasizing the need for vigilance in both clinical and environmental health settings.
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spelling doaj-art-03b608b5f2764eb8b5f688852899eccf2025-08-20T03:18:31ZengBMCJournal of Medical Case Reports1752-19472025-04-011911310.1186/s13256-025-05100-wShewanella putrefaciens, an emerging foe from climate change: a case reportFrancesca Di Bartolomeo0Riccardo Ligresti1Sofia Pettenuzzo2Teresa Bini3Camilla Tincati4Giulia Carla Marchetti5Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of MilanClinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of MilanClinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of MilanClinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of MilanClinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of MilanClinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of MilanAbstract Background Shewanella putrefaciens is a Gram negative, facultatively anerobic bacterium commonly found in aquatic environments and is associated with decomposing organic matter. Although typically nonpathogenic, it has been recognized as an opportunistic pathogen capable of causing rare infections in humans, particularly immunocompromised individuals or those with underlying health conditions. Case presentation We report the case of a 74-year-old white Italian female who developed a soft tissue infection after sustaining a leg injury and subsequently bathing in the coastal waters of Valencia, Spain. Despite initial treatment with amoxicillin/clavulanic acid and wound debridement, the infection persisted. Microbiological analysis revealed the presence of Shewanella putrefaciens and Bacteroides fragilis. The patient required a second-line antibiotic regimen with ciprofloxacin, which successfully resolved the infection, although the patient experienced chronic ankle edema owing to underlying lymphatic insufficiency. Conclusion This case underscores several critical considerations: the emerging pathogenic potential of S. putrefaciens, the implications of environmental antibiotic resistance, and the increased risk of such infections in the context of global warming and rising sea temperatures. With climate change contributing to warmer aquatic environments, the proliferation of marine bacteria, such as S. putrefaciens, may lead to a growing number of opportunistic infections, emphasizing the need for vigilance in both clinical and environmental health settings.https://doi.org/10.1186/s13256-025-05100-wShewanella putrefaciensSoft and skin tissue infections (SSTIs)FluoroquinolonesCase report
spellingShingle Francesca Di Bartolomeo
Riccardo Ligresti
Sofia Pettenuzzo
Teresa Bini
Camilla Tincati
Giulia Carla Marchetti
Shewanella putrefaciens, an emerging foe from climate change: a case report
Journal of Medical Case Reports
Shewanella putrefaciens
Soft and skin tissue infections (SSTIs)
Fluoroquinolones
Case report
title Shewanella putrefaciens, an emerging foe from climate change: a case report
title_full Shewanella putrefaciens, an emerging foe from climate change: a case report
title_fullStr Shewanella putrefaciens, an emerging foe from climate change: a case report
title_full_unstemmed Shewanella putrefaciens, an emerging foe from climate change: a case report
title_short Shewanella putrefaciens, an emerging foe from climate change: a case report
title_sort shewanella putrefaciens an emerging foe from climate change a case report
topic Shewanella putrefaciens
Soft and skin tissue infections (SSTIs)
Fluoroquinolones
Case report
url https://doi.org/10.1186/s13256-025-05100-w
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