Abstract
We report the case of an elderly immunocompetent patient with Aeromonas hydrophila bacteremia without evidence of portal of entry. Despite several risk factors for a poor outcome, such as impaired renal function, two positive blood cultures, and community-acquired infections, the patient survived. Antimicrobial susceptibility was normal. Unknown polycystic liver disease was discovered and misdiagnosed as a hepatic abscess at the time of the bacteremia which was confirmed by repeated CT scans. Because of the absence of other risk factors for Aeromonas bacteremia, hepatic polycystic disease may take part in the onset of Aeromonas sp bacteremia as well as immunosenescence.
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References
Janda JM, Abbott SL. Evolving concepts regarding the genus Aeromonas: an expanding panorama of species, disease presentations, and unanswered questions. Clin Infect Dis 1998; 27: 332–44.
Buchanan RL, Palumbo SA. Aeromonas hydrophila and Aeromonas sobria as potential food poisoning species: a review. J Food Safety 1985; 7: 15–29.
Gold WL, Salit IE. Aeromonas hydrophila infections of skin and soft-tissue: report of 11 cases and review. Clin Infect Dis 1993; 16: 69–74.
Kienzle N, Muller M, Pegg S. Aeromonas wound infection in burns. Burns 2000; 26: 478–82.
Yamada S, Matsushita S, Dejsirilert S, Kudoh Y. Incidence and clinical symptoms of Aeromonas-associated travellers’ diarrhoea in Tokyo. Epidemiol Infect 1997; 119: 121–6.
Bloom HG, Bottone EJ. Aeromonas hydrophila diarrhoea in a long-term care setting. J Am Geriatr Soc 1990; 38: 804–6.
Ko WC, Lee HC, Chuang YC, Liu CC, Wu JJ. Clinical features and therapeutic implications of 104 episodes of monomicrobial Aeromonas bacteraemia. J Infect 2000; 40: 267–73.
Janda JM, Guthertz LS, Kokka RP, Shimada T. Aeromonas species in septicemia: laboratory characteristics and clinical observations. Clin Infect Dis 1994; 19: 77–83.
Rosenfeld L, Bonny C, Kallita M, et al. Les polykystoses hépatiques: principales complications et prise en charge. Gastroenterol Clin Biol 2002; 26: 1097–106.
Rohrbach M, Gualzata MD, Hollfelder R, Viollier AF, Viollier M, Viollier EH. Which are the most frequently occurring enteropathogenic bacteria in clinical practice? Schweiz Med Wochenschr 1988; 118: 1850–3.
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Sebo, P., Sakbani, K., Rohner, P. et al. Aeromonas bacteremia in an elderly immunocompetent patient. Aging Clin Exp Res 18, 344–346 (2006). https://doi.org/10.1007/BF03324670
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DOI: https://doi.org/10.1007/BF03324670