title: Aeromonas hydrophila sepsis with septic embolism and rhabdomyolysis in a chronic iron overload haemodialysis patient treated with deferoxamine.
abstract: Aeromonas infection in humans is associated with certain underlying diseases, especially chronic liver disease or malignancy. However, Aeromonas infection associated with iron overload is rarely reported. We report a case of a 47-year-old female with end-stage renal disease on haemodialysis and on deferoxamine treatment for iron overload who developed Aeromonas sepsis with septic embolism and rhabdomyolysis. Although the patients with Aeromonas infection and rhabdomyolysis have been correlated with high mortality, this reported case survived. We suggest that a chronic haemodialysis patient on deferoxamine treatment for iron overload is vulnerable to Aeromonas infection. In such cases, the clinician should be alerted to the possibility of rhabdomyolsis, and frequent haemodialysis is necessary.
authors.affiliation: Department of Medicine.
authors.forename: Supachat
authors.initials: S
authors.lastname: Chompoonuch
authors.affiliation: Division of Infectious Diseases.
authors.forename: Wittaya
authors.initials: W
authors.lastname: Wangsomboonsiri
authors.affiliation: Division of Infectious Diseases.
authors.forename: Pawinee
authors.initials: P
authors.lastname: Wongprasit
authors.affiliation: Division of Infectious Diseases.
authors.forename: Somnuek
authors.initials: S
authors.lastname: Sungkanuparph
authors.affiliation: Division of Nephrology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital , Mahidol University , Bangkok , Thailand.
authors.forename: Bunyong
authors.initials: B
authors.lastname: Phakdeekitcharoen
keywords: Aeromonas; deferoxamine; haemodialysis; rhabdomyolysis