Sepsis Due to Shewanella putrefaciens: A Rare Bacterium in the Blood of an Immuno-Compromised Patient

A 48-year-old male patient presented to our centre with an alleged history of fall from height approximately 50 feet. On evaluation with imaging multiple rib fractures with hemopneumothorax was detected on the right side. An ICD was inserted on the right side to manage the hemopneumothorax and the patients were shifted to ICU in view of increasing oxygen requirement. After initial stabilisation the patient was put on HFNC (High frequency nasal cannula), and routine investigations were ordered. A thorough history was elicited that the patients was a habitual substance abuser. The CT imaging also revealed cavitatory changes in left upper lobe of the lung, fibronodular opacities in bilateral upper lobes of lungs, grade 3 liver injury, right adrenal hematoma, fracture of right transverse process of L2-L4.