Two cases of soft tissue infection by Aeromonas hydrophila are presented with review of the literature.
Two cases of soft tissue infection by Aeromonas hydrophila diagnosed from 1992-1993 are reported.
Most soft tissue infection produced by Aeromonas organisms are caused by Aeromonas hydrophila. These infections predominantly affect the lower limbs of middle-aged males with previous history of injury favoring infection. The most common clinical presentation is cellulitis with a good prognosis if bacteremia is not produced. Antibiotics, such as mainly third generation cephalosporins, imipenem, aztreonam, cotrimoxazole, tetracycline, chloramphenicol, quinolones and aminoglucosides (except streptomycin) are usually very active in vitro against these organisms. Surgery is often necessary to cure the process.
Cellulitis by Aeromonas hydrophila is a very infrequent entity in Spain and is usually associated to previous injury and probable contamination by environmental bacteria.
[Show abstract][Hide abstract] ABSTRACT: We report a case of Aeromonas osteomyelitis due to injury in a sewage worker. He presented with cellulitis of the left foot. Radiographs showed evidence of osteomyelitis involving the head and neck of the fifth metatarsal. Aeromonas species was isolated from the tissue and swab from the foot. The head and neck of the fifth metatarsal were excised and the patient improved on 4 weeks of intravenous meropenem followed by 4 weeks of oral clindamycin and ciprofloxacin.
Indian journal of medical microbiology 04/2009; 27(2):163-5. DOI:10.4103/0255-0857.49435 · 0.88 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Necrotizing fasciitis is a severe infection of soft tissues characterized by local and systemic involvement and associated with high mortality rates. Episodes of infection by Aeromona hydrophila as etiological agent of the disease are rare, usually in immunocompromised patients, and with high mortality rates. The cases reported in the pediatric population are even rarer. The case is presented of an 8–year-old with no history of underlying systemic disease with clinical and histopathology diagnosis of necrotizing fasciitis with microbiological isolation of A. hydrophila, with successful treatment secondary to extensive surgical debridement and initiation of antibiotic therapy.
[Show abstract][Hide abstract] ABSTRACT: Aeromonas infections in healthy individuals are self limiting, but those in patients with immuno-compromised conditions are frequently associated with significant morbidity and mortality. The current case report describes a fatal case of necrotizing soft tissue infection by Aeromonas hydrophila in an immuno-competent patient.
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