A Case of Septicemia by Plesiomonas shigelloides.
- Author:
Gyoung Yim HA
1
;
Jeong Ill SUH
;
Yunsop CHONG
Author Information
1. Department of Clinical Pathology, College of Medicine, Dongguk University, Kyongju.
- Publication Type:Case Report
- Keywords:
Plesiomonas shigelloides;
Extraintestinal infection;
Septicemia
- MeSH:
Animals;
Cellulitis;
Cholecystitis, Acute;
Colic;
Diabetes Mellitus;
Diarrhea;
Drinking;
Fever;
Fresh Water;
Gallbladder;
Gastrectomy;
Gastroenteritis;
Humans;
Jaundice;
Korea;
Male;
Meningitis;
Middle Aged;
Ostreidae;
Oxidoreductases;
Plesiomonas*;
Pyometra;
Sepsis*;
Ultrasonography;
Water
- From:Korean Journal of Clinical Pathology
1998;18(4):598-602
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Plesiomonas shigelloides with positive reactions of oxidase and indole production is a species of facultative anaerobic gram-negative bacilli. It is an inhabitant of fresh surface water and has been isolated from surface water, fresh water fish, oysters, and various animals. It is not considered to be a part of normal human intestinal flora. In human, P. shigelloides has been associated with gastroenteritis and extraintestinal infection. There have been no previous reports of extraintestinal disease due to P. shigelloides in Korea. Rare extraintestinal infections include neonatal meningitis and septicemia, cellulitis pyometra and acute cholecystitis. The patients may take fatal courses even though they receive antiboiotic therapy. We report a case of sepsis caused by P. shigelloides in a 60-year-old male with diabetes mellitus who had undergone subtotal gastrectomy 8 years before. The patient presented with diarrhea, abdominal cramps, high fever and jaundice. Enlargement of the gallbladder was noted in an abdominal ultrasonogram. He had a history of drinking surface water 5 days ago. P. shigelloides was isolated from his blood, but he recovered after cephalosporin and aminoglycoside infusion and supportive therapy. To our knowledge, this is the first report of septicemia due to P. shigelloides in Korea.
