title: Chronic diarrhea due to a single strain of Aeromonas caviae.
abstract: Over a period of 17 months, Aeromonas caviae was cultured 15 times as the sole enteropathogen from the feces of a man who had developed chronic diarrhea after traveling to Turkey. Determination of rRNA gene restriction patterns confirmed that the seven isolates of Aeromonas caviae studied were identical (hybridization group [HG]4). After therapy with ciprofloxacin for four weeks, the patient was culture negative for the original isolate, and six months later a novel strain of Aeromonas media with a different ribopattern (HG 5A) was isolated from the feces of the patient. The patient responded again, both clinically and bacteriologically, to a four-week course of ciprofloxacin and has remained asymptomatic since then.
authors.affiliation: Department of Bacteriology and Immunology, University of Helsinki, Finland.
authors.forename: H
authors.initials: H
authors.lastname: Rautelin
authors.forename: M L
authors.initials: ML
authors.lastname: Hänninen
authors.forename: A
authors.initials: A
authors.lastname: Sivonen
authors.forename: U
authors.initials: U
authors.lastname: Turunen
authors.forename: V
authors.initials: V
authors.lastname: Valtonen
mesh_terms: D000333:Aeromonas / Q000235:genetics / Q000302:isolation & purification*; D002908:Chronic Disease; D002939:Ciprofloxacin / Q000627:therapeutic use; D004269:DNA, Bacterial / Q000032:analysis*; D003967:Diarrhea / Q000188:drug therapy / Q000382:microbiology*; D005243:Feces / Q000382:microbiology; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D012329:RNA, Bacterial / Q000032:analysis*; D012335:RNA, Ribosomal / Q000032:analysis; D014195:Travel; D014421:Turkey
chemical_list: D004269:DNA, Bacterial; D012329:RNA, Bacterial; D012335:RNA, Ribosomal; D002939:Ciprofloxacin