Aeromonas hydrophila Sepsis Mimicking Vibrio vulnificus Infection.
10.5021/ad.2011.23.S1.S25
- Author:
Se Young PARK
1
;
Hyun Min NAM
;
Kun PARK
;
Seok Don PARK
Author Information
1. Department of Dermatology, Wonkwang University School of Medicine, Iksan, Korea. sdpark@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Aeromonas hydrophila;
Microbiological techniques;
Vibrio vulnificus
- MeSH:
Aeromonas;
Aeromonas hydrophila;
Aged;
Alcoholics;
Arm;
Blister;
Dermis;
Edema;
Epidermis;
Female;
Gangrene;
Hemorrhage;
Humans;
Microbiological Techniques;
Necrosis;
Sepsis;
Shock;
Vibrio;
Vibrio Infections;
Vibrio vulnificus
- From:Annals of Dermatology
2011;23(Suppl 1):S25-S29
- CountryRepublic of Korea
- Language:English
-
Abstract:
Aeromonas hydrophila is a facultatively anaerobic, asporogenous gram-negative rod that has often been regarded as an opportunistic pathogen in hosts with impairment of a local or general defense mechanism. A 68-year-old alcoholic woman presented with shock and gangrene on the right arm. At first, her clinical presentations were severe painful erythematous swelling that worsened within a few hours with development of gangrene, edema, and blisters. Bullous fluid and blood cultures yielded A. hydrophila. Histopathological findings of sections obtained from the vesicle revealed subepidermal vesicles; necrosis of the epidermis, papillary dermis, and subcutaneous fat; and massive hemorrhage in the subcutis. Despite all efforts to save the patient, she died 8 hours after admission. Clinical features of A. hydrophila sepsis resemble those of Vibrio vulnificus sepsis. Therefore, in addition to the case report, we compared the cultural, biochemical, and morphological differences between A. hydrophila and V. vulnificus for facilitation of early and accurate identification of the causative agent.
