{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:58:12Z","timestamp":1791385092368,"version":"4.3.3"},"reference-count":11,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,7]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>\n                    <jats:italic>Shewanella<\/jats:italic>\n                    is a Gram-negative bacillus found in marine environments throughout the world. Its role in human pathogenesis has mostly been described in patients with seawater exposures and immunocompromising conditions. We present a case of a previously healthy young woman who presented with fever and weakness 4 days after routine elective plastic surgery. Violaceous bullae were found from her bilateral breasts tracking down to her right thigh, corresponding to surgical sites. Despite linezolid and meropenem administration, the patient had hemodynamic instability, requiring intubation and vasopressor support. Necrotizing fasciitis was diagnosed and underwent emergent surgical debridement. Blood cultures grew\n                    <jats:italic>Shewanella algae<\/jats:italic>\n                    , with intraoperative cultures growing\n                    <jats:italic>S. algae<\/jats:italic>\n                    ,\n                    <jats:italic>Pseudomonas aeruginosa<\/jats:italic>\n                    , and\n                    <jats:italic>Candida parapsilosis<\/jats:italic>\n                    . After 11 additional wound debridements and adjustment of antimicrobial therapy, her necrotizing fasciitis resolved; however, she was left with multiple deformities. Although the mechanism of acquisition of this infection is unclear,\n                    <jats:italic>S. algae<\/jats:italic>\n                    should be considered when treating necrotizing wound infections.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.25-0747","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T17:49:49Z","timestamp":1786643389000},"page":"738-740","source":"Crossref","is-referenced-by-count":0,"title":["Shewanella algae Necrotizing Fasciitis and Septic Shock after Elective Cosmetic Surgery: A Potential Emerging Infection"],"prefix":"10.4269","volume":"115","author":[{"given":"Eryn","family":"Percenti","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of Infectious Disease and International Medicine, University of South Florida Morsani College of Medicine, Tampa, Florida, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Nowacki","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Infectious Disease and International Medicine, University of South Florida Morsani College of Medicine, Tampa, Florida, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Fennell","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elora","family":"Friar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Cannella","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Infectious Disease and International Medicine, University of South Florida Morsani College of Medicine, Tampa, Florida, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"issue":"10","key":"b1","series-title":"Int J Syst Evol Microbiol","first-page":"006943","article-title":"List of recommended names for bacteria of medical importance: Report of the Ad Hoc Committee on Mitigating Changes in Prokaryotic Nomenclature","volume":"75","author":"G\u00f6ker","year":"2025"},{"key":"b2","series-title":"Indian J Med Microbiol","first-page":"100574","article-title":"Analysis of clinical characteristics of infections caused by Shewanella species","volume":"49","author":"Li","year":"2024"},{"issue":"5","key":"b3","series-title":"Clin Microbiol Infect","first-page":"347","article-title":"Shewanella algae and Shewanella putrefaciens: Clinical and microbiological characteristics","volume":"11","author":"Holt","year":"2005"},{"issue":"1","key":"b4","series-title":"Virulence","first-page":"1515","article-title":"Shewanella infection in humans: Epidemiology, clinical features and pathogenicity","volume":"13","author":"Yu","year":"2022"},{"issue":"5","key":"b5","series-title":"J Cosmet Dermatol","first-page":"1575","article-title":"Analysis of pathogen distribution and antimicrobial resistance at infected sites in plastic surgery","volume":"22","author":"Jiang","year":"2023"},{"key":"b6","series-title":"Sci Total Environ","first-page":"147905","article-title":"Impacts of global warming on marine microbial communities","volume":"791","author":"Abirami","year":"2021"},{"key":"b7","series-title":"Performance Standards for Antimicrobial Susceptibility Testing","year":"2024"},{"issue":"8","key":"b8","series-title":"J Food Prot","first-page":"100570","article-title":"Prevalence, antibiotic resistance, and control of pathogenic Shewanella in seafoods","volume":"88","author":"Johnson","year":"2025"},{"issue":"11","key":"b9","series-title":"Open Forum Infect Dis","first-page":"ofz442","article-title":"Shewanella algae infections in United States Naval Special Warfare trainees","volume":"6","author":"Bauer","year":"2019"},{"issue":"12","key":"b10","series-title":"Microbiology (Reading)","first-page":"001118","article-title":"qnrA gene diversity in Shewanella spp","volume":"167","author":"Araujo","year":"2021"},{"issue":"8","key":"b11","series-title":"Eur J Clin Microbiol Infect Dis","first-page":"1353","article-title":"Current trends of human infections and antibiotic resistance of the genus Shewanella.","volume":"36","author":"Yousfi","year":"2017"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/115\/4\/article-p738.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/115\/4\/article-p738.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/115\/4\/article-p738.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:24:52Z","timestamp":1791383092000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/115\/4\/article-p738.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":11,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.25-0747","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]}}}