title: Near-drowning-associated pneumonia with bacteremia caused by coinfection with methicillin-susceptible Staphylococcus aureus and Edwardsiella tarda in a healthy white man: a case report.
abstract: BACKGROUND
  Edwardsiella tarda is an Enterobacteriaceae found in aquatic environments. Extraintestinal infections caused by Edwardsiella tarda in humans are rare and occur in the presence of some risk factors. As far as we know, this is the first case of near-drowning-associated pneumonia with bacteremia caused by coinfection with methicillin-susceptible Staphylococcus aureus and Edwardsiella tarda in a healthy patient.
  
  
  METHODS
  A 27-year-old previously healthy white man had an episode of fresh water drowning after acute alcohol consumption. Edwardsiella tarda and methicillin-sensitive Staphylococcus aureus were isolated in both tracheal aspirate cultures and blood cultures.
  
  
  CONCLUSIONS
  This case shows that Edwardsiella tarda is an important pathogen in near drowning even in healthy individuals, and not only in the presence of risk factors, as previously known.
authors.affiliation: Emergency Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 255, 5o andar, Sala 5023, Cerqueira Cesar, ZIP Code 05403-010, São Paulo, SP, Brazil. lucaszambon@yahoo.com.br.
authors.forename: Lucas Santos
authors.initials: LS
authors.lastname: Zambon
authors.affiliation: Emergency Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 255, 5o andar, Sala 5023, Cerqueira Cesar, ZIP Code 05403-010, São Paulo, SP, Brazil.
authors.forename: Guilherme Nader
authors.initials: GN
authors.lastname: Marta
authors.affiliation: Emergency Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 255, 5o andar, Sala 5023, Cerqueira Cesar, ZIP Code 05403-010, São Paulo, SP, Brazil.
authors.forename: Natan
authors.initials: N
authors.lastname: Chehter
authors.affiliation: Emergency Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 255, 5o andar, Sala 5023, Cerqueira Cesar, ZIP Code 05403-010, São Paulo, SP, Brazil.
authors.forename: Luis Guilherme
authors.initials: LG
authors.lastname: Del Nero
authors.affiliation: Emergency Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 255, 5o andar, Sala 5023, Cerqueira Cesar, ZIP Code 05403-010, São Paulo, SP, Brazil.
authors.forename: Marina Costa
authors.initials: MC
authors.lastname: Cavallaro
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000150:complications* / Q000188:drug therapy; D002443:Ceftriaxone / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D060085:Coinfection / Q000188:drug therapy / Q000382:microbiology*; D020609:Edwardsiella tarda; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008712:Methicillin; D015701:Near Drowning / Q000150:complications* / Q000382:microbiology; D010068:Oxacillin / Q000627:therapeutic use; D011014:Pneumonia / Q000188:drug therapy / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy; D013211:Staphylococcus aureus
chemical_list: D002981:Clindamycin; D002939:Ciprofloxacin; D002443:Ceftriaxone; D008712:Methicillin; D010068:Oxacillin
keywords: Bacteremia; Bacterial; Edwardsiella tarda; Near drowning; Pneumonia