RT Journal Article SR Electronic T1 A rare case of Shewanella septicemia: risk factors, environmental associations and management JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e230252 DO 10.1136/bcr-2019-230252 VO 12 IS 9 A1 Latif, Azka A1 Kapoor, Vikas A1 Vivekanandan, Renuga A1 Reddy, Joseph Thilumala YR 2019 UL http://casereports.bmj.com/content/12/9/e230252.abstract AB Shewanella species are Gram-negative, saprophytic, motile bacilli. Exposure to aquatic environment and raw fish ingestion have been defined as significant associated risk factors. The two species most commonly associated with human infections are Shewanella algae and Shewanella putrefaciens and major portion of infections (80%) caused by the former. Herein, we report a case of Shewanella septicaemia in a 70-year-old man in Omaha, NE who had no exposure to aquatic environment. To date, no defined treatment guidelines are present due to rarity of Shewanella infections, which is contributing to emerging antibiotic resistance.