title: Edwardsiella tarda bacteraemia--complicated by acute pancreatitis and pyomyoma.
abstract: Edwardsiella tarda (E. tarda) has recently become recognized as a pathogen in humans. Here we report a new case of E. tarda bacteraemia complicated by acute pancreatitis and pyomyoma. A 46-year-old female came to our emergency room complaining of sudden onset of left upper quadrant pain and vomiting for the previous few hours after drinking three bottles of wine. An abdominal computed tomography (CT) scan revealed multiple biliary stones, acute pancreatitis with extensive inflammatory change, and a large uterine myoma. Fever, watery diarrhoea, and mild suprapubic discomfort with vaginal spotting were noted soon after admission. The patient's blood cultures yielded E. tarda and symptoms subsided after antibiotic therapy. Fever and severe suprapubic pain with rebound tenderness developed 12 days later. Repeat abdominal CT scan revealed an enlarged uterine myoma with central necrosis. The patient subsequently underwent anterior total hysterectomy and bilateral salpingo-oophorectomy, revealing a uterine myoma with infarction and abscess formation. The patient recovered uneventfully and was discharged 1 week later.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Taipei Municipal Jen-Ai Hospital, Taiwan.
authors.forename: C H
authors.initials: CH
authors.lastname: Yang
authors.forename: C K
authors.initials: CK
authors.lastname: Wang
mesh_terms: D000208:Acute Disease; D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications* / Q000188:drug therapy; D001774:Blood Chemical Analysis; D002440:Cefoxitin / Q000627:therapeutic use; D002513:Cephamycins / Q000627:therapeutic use; D005260:Female; D006090:Gram-Negative Bacteria / Q000472:pathogenicity*; D016905:Gram-Negative Bacterial Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D009214:Myoma / Q000150:complications; D010052:Ovariectomy; D010195:Pancreatitis / Q000150:complications; D014057:Tomography, X-Ray Computed; D014599:Uterus / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D002513:Cephamycins; D002440:Cefoxitin; D000583:Amikacin