title: Psychrobacter bacteraemia in a cirrhotic patient after the consumption of raw geoduck clam.
abstract: Psychrobacter species rarely cause infections in human. We reported herein a 62-year-old cirrhotic patient who presented with fever and diarrhoea after the consumption of raw geoduck clam. Blood culture grew Psychrobacter phenylpyruvicus which was sensitive to most anti-microbial agents. The patient responded promptly to intravenous antibiotics. This is the first report of human infection with this unusual organism which illustrates the potential health hazards of eating raw geoduck clam in patients with advanced liver disease.
authors.affiliation: Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China. wkleung@cuhk.edu.hk
authors.forename: Wai K
authors.initials: WK
authors.lastname: Leung
authors.forename: Viola C Y
authors.initials: VC
authors.lastname: Chow
authors.forename: Martin C W
authors.initials: MC
authors.lastname: Chan
authors.forename: Julia M L
authors.initials: JM
authors.lastname: Ling
authors.forename: Joseph J Y
authors.initials: JJ
authors.lastname: Sung
mesh_terms: D000667:Ampicillin / Q000008:administration & dosage; D000818:Animals; D000890:Anti-Infective Agents / Q000008:administration & dosage; D016470:Bacteremia / Q000188:drug therapy / Q000209:etiology / Q000635:transmission*; D049872:Bivalvia / Q000382:microbiology*; D002442:Ceftazidime / Q000008:administration & dosage; D005516:Food Microbiology; D005517:Foodborne Diseases / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage; D008875:Middle Aged; D045828:Moraxellaceae Infections / Q000188:drug therapy / Q000209:etiology / Q000635:transmission*; D044096:Psychrobacter / Q000302:isolation & purification / Q000472:pathogenicity*; D017747:Seafood / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D000890:Anti-Infective Agents; D008795:Metronidazole; D000667:Ampicillin; D002442:Ceftazidime