title: Severe sepsis due to Aeromonas aquariorum in a patient with liver cirrhosis.
abstract: Thus far, Aeromonas aquariorum infection has been unrecorded in Korea. Herein, we report a fatal case of A. aquariorum infection in a 77-year-old male patient with liver cirrhosis. The bacterium isolated from a blood culture was initially mistaken as Aeromonas hydrophila using the Vitek2 identification system. In spite of intravenous ceftriaxone therapy, the patient was exacerbated by multiple organ dysfunction. By 4 days after admission, there was no hope for treatment or remission of symptoms and the patient was discharged. In the detailed microbiological investigations, the bacterium was identified as A. aquariorum harboring the act and alt genes, which encode cytotoxic and cytotonic enterotoxins.
authors.affiliation: Bio-Safety Research Institute and College of Veterinary Medicine, Chonbuk National University.
authors.forename: Gee-Wook
authors.initials: GW
authors.lastname: Shin
authors.forename: Myung-Jo
authors.initials: MJ
authors.lastname: You
authors.forename: Ho-Seong
authors.initials: HS
authors.lastname: Cho
authors.forename: Seung-Won
authors.initials: SW
authors.lastname: Yi
authors.forename: Chang-Seop
authors.initials: CS
authors.lastname: Lee
mesh_terms: D000333:Aeromonas / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D000368:Aged; D016470:Bacteremia / Q000382:microbiology*; D001427:Bacterial Toxins / Q000235:genetics; D003951:Diagnostic Errors; D004768:Enterotoxins / Q000235:genetics; D017809:Fatal Outcome; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology*; D006801:Humans; D008103:Liver Cirrhosis / Q000382:microbiology*; D008297:Male; D010802:Phylogeny
chemical_list: D001427:Bacterial Toxins; D004768:Enterotoxins