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Posttraumatic Aeromonas hydrophila Osteomyelitis

Posttraumatic Aeromonas hydrophila Osteomyelitis Abstract • Aeromonas hydrophila is a gram-negative organism that is the causative agent in several clinical infections. Although it has been reported to cause osteomyelitis in immunocompromised patients, it has not been reported to cause this in the normal host. We describe two patients in whom acute osteomyelitis developed following trauma in freshwater lakes. Cultures yielded A hydrophila, and both patients responded to a two-week course of parenteral antibiotics followed by oral tetracycline hydrochloride in the outpatient setting. Since A hydrophila is a common inhabitant of freshwater lakes, it should be suspected in infections occurring in this epidemiologic setting. (Arch Intern Med 1983;143:2073-2074) References 1. Von Graevenitz A, Mensch AH: The genus Aeromonas in human bacteriology: Report of 30 cases and review of the literature. N Engl J Med 1968;278:245-249.Crossref 2. Hanson PG, Standridge J, Jarrett F, et al: Freshwater wound infection due to Aeromonas hydrophila. JAMA 1977;238:1053-1054.Crossref 3. Davis WA, Kane JG, Garagusi VF: Human Aeromonas infections: A review of the literature and a case report of endocarditis. Medicine 1978;57:267-277.Crossref 4. Washington JA: Aeromonas hydrophila in clinical bacteriologic specimens. Ann Intern Med 1972;76:611-614.Crossref 5. Dean HM, Post RM: Fatal infection with Aeromonas hydrophila in a patient with acute myelogenous leukemia. Ann Intern Med 1967;66:1177-1179.Crossref 6. Lopez JF, Quesada J, Saied A: Bacteremia and osteomyelitis due to Aeromonas hydrophila. Am J Clin Pathol 1968;50:587-591. 7. Wolff RL, Wiseman SL, Kitchens CS: Aeromonas hydrophila bacteremia in ambulatory immunocompromised hosts. Am J Med 1980;68:238-242.Crossref 8. Fraire AE: Aeromonas hydrophila infection. JAMA 1978;239:192.Crossref 9. Cumberbatch N, Gurwith MJ, Langston C, et al: Cytotoxic enterotoxin produced by Aeromonas hydrophila: Relationship of toxigenic isolates to diarrheal disease. Infect Immun 1979;23:829-837. 10. Donta ST, Haddow AD: Cytotoxic activity of Aeromonas hydrophila. Infect Immun 1978;21:989-993. 11. McCracken AW, Barkley R: Isolation of Aeromonas species from clinical sources. J Clin Pathol 1972;25:970-975.Crossref 12. Levin ML: Gas-forming Aeromonas hydrophila infection in a diabetic. Postgrad Med 1973;54:127-129. 13. Stephen S, Achyutha Rao KN, Sitaram Kumar M, et al: Human infection with Aeromonas species: Varied clinical manifestations. Ann Intern Med 1975;83:368-369.Crossref 14. D'Alauro F, Ansinelli R: Aeromonas hydrophila septicemia in a previously healthy man. JAMA 1978;240:1139.Crossref 15. Hussian Quadri SMH, Gordon LP, Wende RD, et al: Meningitis due to Aeromonas hydrophila. J Clin Microbiol 1976;3:102-104. 16. Fainstein V, Weaver S, Bodey GP: In vitro susceptibilities of Aeromonas hydrophila against new antibiotics. Antimicrob Agents Chemother 1982;22:513-514.Crossref 17. Fass RJ, Barnishan J: In vitro susceptibilities of Aeromonas hydrophila to 32 antimicrobial agents. Antimicrob Agents Chemother 1981;19: 357-358.Crossref 18. Overman TL: Antimicrobial susceptibility of Aeromonas hydrophila. Antimicrob Agents Chemother 1980;17:612-614.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Posttraumatic Aeromonas hydrophila Osteomyelitis

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350110051014
Publisher site
See Article on Publisher Site

Abstract

Abstract • Aeromonas hydrophila is a gram-negative organism that is the causative agent in several clinical infections. Although it has been reported to cause osteomyelitis in immunocompromised patients, it has not been reported to cause this in the normal host. We describe two patients in whom acute osteomyelitis developed following trauma in freshwater lakes. Cultures yielded A hydrophila, and both patients responded to a two-week course of parenteral antibiotics followed by oral tetracycline hydrochloride in the outpatient setting. Since A hydrophila is a common inhabitant of freshwater lakes, it should be suspected in infections occurring in this epidemiologic setting. (Arch Intern Med 1983;143:2073-2074) References 1. Von Graevenitz A, Mensch AH: The genus Aeromonas in human bacteriology: Report of 30 cases and review of the literature. N Engl J Med 1968;278:245-249.Crossref 2. Hanson PG, Standridge J, Jarrett F, et al: Freshwater wound infection due to Aeromonas hydrophila. JAMA 1977;238:1053-1054.Crossref 3. Davis WA, Kane JG, Garagusi VF: Human Aeromonas infections: A review of the literature and a case report of endocarditis. Medicine 1978;57:267-277.Crossref 4. Washington JA: Aeromonas hydrophila in clinical bacteriologic specimens. Ann Intern Med 1972;76:611-614.Crossref 5. Dean HM, Post RM: Fatal infection with Aeromonas hydrophila in a patient with acute myelogenous leukemia. Ann Intern Med 1967;66:1177-1179.Crossref 6. Lopez JF, Quesada J, Saied A: Bacteremia and osteomyelitis due to Aeromonas hydrophila. Am J Clin Pathol 1968;50:587-591. 7. Wolff RL, Wiseman SL, Kitchens CS: Aeromonas hydrophila bacteremia in ambulatory immunocompromised hosts. Am J Med 1980;68:238-242.Crossref 8. Fraire AE: Aeromonas hydrophila infection. JAMA 1978;239:192.Crossref 9. Cumberbatch N, Gurwith MJ, Langston C, et al: Cytotoxic enterotoxin produced by Aeromonas hydrophila: Relationship of toxigenic isolates to diarrheal disease. Infect Immun 1979;23:829-837. 10. Donta ST, Haddow AD: Cytotoxic activity of Aeromonas hydrophila. Infect Immun 1978;21:989-993. 11. McCracken AW, Barkley R: Isolation of Aeromonas species from clinical sources. J Clin Pathol 1972;25:970-975.Crossref 12. Levin ML: Gas-forming Aeromonas hydrophila infection in a diabetic. Postgrad Med 1973;54:127-129. 13. Stephen S, Achyutha Rao KN, Sitaram Kumar M, et al: Human infection with Aeromonas species: Varied clinical manifestations. Ann Intern Med 1975;83:368-369.Crossref 14. D'Alauro F, Ansinelli R: Aeromonas hydrophila septicemia in a previously healthy man. JAMA 1978;240:1139.Crossref 15. Hussian Quadri SMH, Gordon LP, Wende RD, et al: Meningitis due to Aeromonas hydrophila. J Clin Microbiol 1976;3:102-104. 16. Fainstein V, Weaver S, Bodey GP: In vitro susceptibilities of Aeromonas hydrophila against new antibiotics. Antimicrob Agents Chemother 1982;22:513-514.Crossref 17. Fass RJ, Barnishan J: In vitro susceptibilities of Aeromonas hydrophila to 32 antimicrobial agents. Antimicrob Agents Chemother 1981;19: 357-358.Crossref 18. Overman TL: Antimicrobial susceptibility of Aeromonas hydrophila. Antimicrob Agents Chemother 1980;17:612-614.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1983

References