1921
Volume 83, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

species are Gram-negative bacilli of the water environment whose survival appears facilitated by warm climates. There have been no reports on complex (, , ) in the Caribbean to date. Our aim was to describe clinical and bacteriological features in patients presenting with such bacteremia in Martinique and Guadeloupe. During a 14-year period, we retrospectively identified 37 patients. The mean age was 55 years and in 89% of cases underlying disease such as digestive diseases, cutaneous wounds, and malignancy were identified. One case was related to severe strongyloidiasis and one with snake bite. Polymicrobial bacteremia was identified in 38%, essentially with . All isolates were resistant to amoxicillin but extended-spectrum beta-lactam and fluoroquinolone were active against more than 95%. During hospitalization 10 patients died (27%). Older age, occurrence of multiorgan failure, and impaired renal function were associated with in-hospital mortality.

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2010-11-05
2017-11-22
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References

  1. Janda JM, Abbott SL, , 2010. The genus Aeromonas: taxonomy, pathogenicity, and infection. Clin Microbiol Rev 23: 3573.[Crossref]
  2. Harris RL, Fainstein V, Elting L, Hopfer RL, Bodey GP, , 1985. Bacteremia caused by Aeromonas species in hospitalized cancer patients. Rev Infect Dis 7: 314320.[Crossref]
  3. Gold WL, Salit IE, , 1993. Aeromonas hydrophila infections of skin and soft tissue: report of 11 cases and review. Clin Infect Dis 16: 6974.[Crossref]
  4. Ko WC, Lee HC, Chuang YC, Liu CC, Wu JJ, , 2000. Clinical features and therapeutic implications of 104 episodes of monomicrobial Aeromonas bacteraemia . J Infect 40: 267273.[Crossref]
  5. Duthie R, Ling TW, Cheng AF, French GL, , 1995. Aeromonas septicaemia in Hong Kong species distribution and associated disease. J Infect 30: 241244.[Crossref]
  6. Kelly KA, Koehler JM, Ashdown LR, , 1993. Spectrum of extraintestinal disease due to Aeromonas species in tropical Queensland, Australia. Clin Infect Dis 16: 574579.[Crossref]
  7. Vally H, Whittle A, Cameron S, Dowse GK, Watson T, , 2004. Outbreak of Aeromonas hydrophila wound infections associated with mud football. Clin Infect Dis 38: 10841089.[Crossref]
  8. Janda JM, Guthertz LS, Kokka RP, Shimada T, , 1994. Aeromonas species in septicemia: laboratory characteristics and clinical observations. Clin Infect Dis 19: 7783.[Crossref]
  9. Soussy CJ, , 2010. Antibiogram Committee of the French Society for Microbiology. French Society for Microbiology. Available at: www.sfm.asso.fr.
  10. French GL, Cheng AF, Duthie R, Cockram CS, , 1990. Septicaemia in Hong Kong. J Antimicrob Chemother 25 (Suppl C): 115125.[Crossref]
  11. Millership SE, Curnow SR, Chattopadhyay B, , 1983. Faecal carriage rate of Aeromonas hydrophila . J Clin Pathol 36: 920923.[Crossref]
  12. Sautour M, Mary P, Chihib NE, Hornez JP, , 2003. The effects of temperature, water activity and pH on the growth of Aeromonas hydrophila and on its subsequent survival in microcosm water. J Appl Microbiol 95: 807813.[Crossref]
  13. Fardet L, Genereau T, Poirot JL, Guidet B, Kettaneh A, Cabane J, , 2007. Severe strongyloidiasis in corticosteroid-treated patients: case series and literature review. J Infect 54: 1827.[Crossref]
  14. Thomas L, Tyburn B, Bucher B, Pecout F, Ketterle J, Rieux D, Smadja D, Garnier D, Plumelle Y, , 1995. Prevention of thromboses in human patients with Bothrops lanceolatus envenoming in Martinique: failure of anticoagulants and efficacy of a monospecific antivenom. Research Group on Snake Bites in Martinique. Am J Trop Med Hyg 52: 419426.
  15. Easow JM, Tuladhar R, , 2007. Aeromonas hydrophila wound infection following a tiger bite in Nepal. Southeast Asian J Trop Med Public Health 38: 867870.
  16. Royle JA, Isaacs D, Eagles G, Cass D, Gilroy N, Chen S, Malouf D, Griffiths C, , 1997. Infections after shark attacks in Australia. Pediatr Infect Dis J 16: 531532.[Crossref]
  17. Koehler JM, Ashdown LR, , 1993. In vitro susceptibilities of tropical strains of Aeromonas species from Queensland, Australia, to 22 antimicrobial agents. Antimicrob Agents Chemother 37: 905907.[Crossref]
  18. Walsh TR, Stunt RA, Nabi JA, MacGowan AP, Bennett PM, , 1997. Distribution and expression of beta-lactamase genes among Aeromonas spp. J Antimicrob Chemother 40: 171178.[Crossref]
  19. Ko WC, Yu KW, Liu CY, Huang CT, Leu HS, Chuang YC, , 1996. Increasing antibiotic resistance in clinical isolates of Aeromonas strains in Taiwan. Antimicrob Agents Chemother 40: 12601262.
  20. Ko WC, Wu HM, Chang TC, Yan JJ, Wu JJ, , 1998. Inducible beta-lactam resistance in Aeromonas hydrophila: therapeutic challenge for antimicrobial therapy. J Clin Microbiol 36: 31883192.
  21. Lau SM, Peng MY, Chang FY, , 2000. Outcomes of Aeromonas bacteremia in patients with different types of underlying disease. J Microbiol Immunol Infect 33: 241247.
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Supplementary Data

Erratum

  • Received : 28 Jan 2010
  • Accepted : 23 Aug 2010

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