title: [Severe pneumonia caused by Aeromonas veronii biovar sobria: a case report and review of the literature].
abstract: OBJECTIVE
  To describe the clinical features of severe pneumonitis with Aeromonas veronii biovar sobria.
  
  
  METHODS
  Case report and review of the related literatures. The clinical symptoms, laboratory tests, radiographic patterns, diagnosis, and therapeutic management of a case of severe pneumonia caused by A. veronii biovar sobria were described.
  
  
  RESULTS
  The clinical symptoms of this patient included cough and sputum production with high fever, followed by acute respiratory distress symptom associated with septic shock. Progressive infiltration of lungs was evident in chest radiography, changes suggestive of interstitial pneumonia. Oxygenation was improved by mechanical ventilation and anti-shock therapy was administered. A. veronii biovar sobria was grown in three consecutive cultures of airway secretions by fiberoptic bronchoscopy. Mild interstitial inflammation was revealed by pathology of transbronchial lung biopsy specimens. The clinical symptoms and the chest infiltrates improved significantly after therapy with antibiotics and glucocorticoids.
  
  
  CONCLUSIONS
  A. veronii biovar sobria, an intestinal bacterial pathogen, can cause severe pneumonia, which is often underestimated and inadequately understood. Appropriate antibiotics, glucocorticoids and nutritional support are effective treatments.
authors.affiliation: Department of Respiratory Medicine, Haihe Hospital, Tianjin 300350, China.
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.forename: Zhong-Zhen
authors.initials: ZZ
authors.lastname: DU
authors.forename: Xin
authors.initials: X
authors.lastname: Sun
authors.forename: Xu-Guang
authors.initials: XG
authors.lastname: Shao
authors.forename: Jian-Guo
authors.initials: JG
authors.lastname: Li
authors.forename: Li-Xia
authors.initials: LX
authors.lastname: Zhang
authors.forename: Yong-Mei
authors.initials: YM
authors.lastname: Wang
authors.forename: Qi
authors.initials: Q
authors.lastname: Wu
mesh_terms: D000333:Aeromonas; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000382:microbiology*