Septic shock caused by Shewanella algae bloodstream infection and Ep-stein-Barr virus co-infection in non-coastal area:one case report
10.12138/j.issn.1671-9638.20252376
- VernacularTitle:非沿海地区海藻希瓦菌血流感染合并EB病毒共感染致脓毒性休克1例
- Author:
Jianmei CHEN
1
;
Feng WANG
;
Dong LING
;
Shuyue ZHAO
Author Information
1. 崇州市人民医院检验科,四川成都 610000
- Publication Type:Journal Article
- Keywords:
Shewanella algae;
septic shock;
non-coastal area;
bloodstream infection;
Epstein-Barr virus
- From:
Chinese Journal of Infection Control
2025;24(11):1660-1662
- CountryChina
- Language:Chinese
-
Abstract:
This paper reports a death due to septic shock caused by Shewanella algae bloodstream infection and Epstein-Barr virus(EBV)co-infection in an elderly male patient who had no history of seawater exposure.She-wanella algae was identified in blood culture.Antimicrobial susceptibility testing showed that the strain was sus-ceptible to meropenem while resistance to ceftriaxone.EBV sequence was detected by metagenomic next-generation sequencing(mNGS)of blood specimen.Despite meropenem combined with antiviral and anti-shock treatment,the patient still rapidly progressed to multiple organ failure and died.This case suggests that Shewanella algae infec-tion relevant to freshwater environment exposure should be alerted,co-infection with EBV can exacerbate the severi-ty of sepsis,and potential risk of treatment failure should be paid attention in clinical practice despite carbapenems susceptibility confirmed by testing.
