Pneumonia and bacteremia due to Aeromonas hydrophila.
Aeromonas hydrophila is a gram-negative bacillus which has been rarely identified as a human pathogen except in immunologically compromised hosts. We have recently treated three patients for severe A hydrophila pneumonia and sepsis. Two of these patients were healthy young men who aspirated the organism from contaminated water associated with near drowning. One patient survived severe ARDS and gram-negative sepsis. A third patient with chronic renal failure acquired A hydrophila pneumonia at home and quickly died from the infection. A hydrophila is becoming more commonly recognized as a lethal pathogen and should be sought when gram negative infection is suspected.
D000293:Adolescent; D000328:Adult; D000333:Aeromonas / Q000302:isolation & purification; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008169:Lung Abscess / Q000209:etiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D011859:Radiography; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology; D013183:Sputum / Q000382:microbiology; D014871:Water Microbiology
D005839:Gentamicins