Infect Chemother.  2011 Apr;43(2):213-216. 10.3947/ic.2011.43.2.213.

Aeromonas hydrophila Myonecrosis in an Immunocompetent Patient

• Jung MH
• Lee KH
• Hwang DY
• Jo KH
• Han SY
• Kim SA
• Lee SR

• KMID: 1782365
• DOI: http://doi.org/10.3947/ic.2011.43.2.213

Abstract

Aeromonas hydrophila is a facultative anaerobic Gram negative bacillus. It usually thrives in fresh and brackish water and primarily causes gastroenteritis in humans. Rarely aeromonads have been associated with extra-intestinal infections, such as skin and soft infection, meningitis, epidural abscess, endocarditis and pneumonia in immunocompromised hosts. Here we report Aeromonas hydrophila soft tissue infection occurring in a 53-year-old Korean woman without underlying disease who was successfully treated with proper antibiotics.

Keyword

Aeromonas hydrophila; Soft tissue infection

MeSH Terms

Aeromonas
Aeromonas hydrophila
Anti-Bacterial Agents
Bacillus
Endocarditis
Epidural Abscess
Female
Gastroenteritis
Humans
Immunocompromised Host
Meningitis
Middle Aged
Pneumonia
Skin
Soft Tissue Infections
Water
Anti-Bacterial Agents
Water

Figure

• 

  Figure 1 (A) Both the patient's lower legs show redness and swelling on the third hospital day. (B) The patient was treated with multiple broad spectrum antibiotics. On the eighth hospital day, the lesion improved.

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  Figure 2 Magnetic resonance imaging of the lower leg (Coronal contrast-enhanced fat-suppressed T1-weighted image) reveals longitudinally arranged, rim-enhancing, cavitary lesion, consistent with intramuscular abscess.

Reference

1. Janda JM, Duffey PS. Mesophilic aeromonads in human disease: current taxonomy, laboratory identification, and infectious disease spectrum. Rev Infect Dis. 1988. 10:980–997.

2. Monfort P, Baleux B. Distribution and survival of motile Aeromonas spp. in brackish water receiving sewage treatment effluent. Appl Environ Microbiol. 1991. 57:2459–2467.

3. Peter SF, Jay PB, Michael S. Aeromonas hydrophila : A rare cause of biliary sepsis. Accessed 24 May 2010. Available at: http://www.practicalgastro.com/pdf/May10/FranciscoArticle.pdf.

4. Sohn HJ, Nam DH, Kim YS, Paik HJ. Endogenous Aeromonas hydrophila endophthalmitis in a immunocompromised patient. Korean J Ophthalmol. 2007. 21:45–47.

5. Lee CH, Liu MS, Hsieh SH. Aeromonas hydrophila bacteremia presenting as non-traumatic acute osteomyelitis in a cirrhotic patient. Chang Gung Med J. 2003. 26:520–524.

6. Tsai CC, Ho YH, Wang LS. Aeromonas hydrophila bacteremia presenting as epidural abscess in a cirrhotic patient: a case report. Tzu Chi Med J. 2005. 17:429–432.

7. Damián RF, Zesati RV, Fernáindez LS, García JL. Septicemia due to Aeromonas hydrophila in a pregnant woman: a case report and review of the literature. Infect Dis Obstet Gynecol. 1995. 3:252–255.

8. Furusu A, Yoshizuka N, Abe K, Sasaki O, Miyazaki K, Miyazaki M, Hirakata Y, Ozono Y, Harada T, Kohno S. Aeromonas hydrophila necrotizing fasciitis and gas gangrene in a diabetic patient on haemodialysis. Nephrol Dial Transplant. 1997. 12:1730–1734.

9. Voss LM, Rhodes KH, Johnson KA. Musculoskeletal and soft tissue Aeromonas infection: an environmental disease. Mayo Clin Proc. 1992. 67:422–427.

10. Ko WC, Chuang YC. Aeromonas bacteremia: review of 59 episodes. Clin Infect Dis. 1995. 20:1298–1304.

11. Heckerling PS, Stine TM, Pottage JC Jr, Levin S, Harris AA. Aeromonas hydrophila myonecrosis and gas gangrene in a nonimmunocompromised host. Arch Intern Med. 1983. 143:2005–2007.

12. Kang JM, Kim BN, Choi SH, Kim NJ, Woo JH, Ryu J, Kim YS. Clinical features and prognostic factors of Aeromonas bacteremia. Infect Chemother. 2005. 37:161–166.

13. Cho BR, Jeon SY, Son YD, Lee JH, Kim KY. A case of fatal Aeromonas hydrophila infection in idiopathic hemochromatosis. Korean J Gastroenterol. 1991. 23:592–596.

14. Park HJ, Kim HY, Uh Y, Kwon OG, Oh JR. A case of Aeromonas hydrophila necrotizing fasciitis in patient on hemodialysis. Infect Chemother. 2007. 39:218–221.

15. Park SY, Jeong WK, Kim MJ, Lee KM, Lee WS, Lee DH. Necrotising fasciitis in both calves caused by Aeromonas caviae following aesthetic liposuction. J Plast Reconstr Aesthet Surg. 2010. 63:e695–e698.

16. Borger van der Burg BL, Bronkhorst MW, Pahlplatz PV. Aeromonas hydrophila necrotizing fasciitis. a case report. J Bone Joint Surg Am. 2006. 88:1357–1360.

17. Warren HS, Bailey EM. Case 41-1994-A 57-year-old man with chronic active hepatitis, a rapidly progressive bullous eruption, and shock. N Engl J Med. 1994. 331:1362–1368.

18. Fass RH, Barnishan J. In vitro susceptibilities of Aeromonas hydrophila to 32 antimicrobial agents. Antimicrob Agents Chemother. 1981. 19:357–358.

19. Burgos A, Quindós G, Martínez R, Rojo P, Cisterna R. In vitro susceptibility of Aeromonas caviae, Aeromonas hydrophila and Aeromonas sobria to fifteen antibacterial agents. Eur J Clin Microbiol Infect Dis. 1990. 9:413–417.

20. Turecki MB, Taljanovic MS, Stubbs AY, Graham AR, Holden DA, Hunter TB, Rogers LF. Imaging of musculoskeletal soft tissue infections. Skeletal Radiol. 2010. 39:957–971.