Empyema Caused by Aeromonas Species in Taiwan

Abstract

Abstract. Strains of Aeromonas species are prevalent bacteria in coastal areas of southern Taiwan. Aeromonad is known as a cause of epidemic diarrheal disease, and the most common clinical manifestation is acute gastroenteritis. Extra-intestinal infections by Aeromonas species, such as pleural cavity, are rare. Herein, we described the six patients who developed Aeromonas spp.-related empyema, and was successfully treated with antimicrobial agent and drainage.Aeromonas species, a curved Gram-negative rod, causes human infection through exposure to contaminated sea water or ingestion of contaminated seafood.

Clinical Manifestations of Bacteremia Caused by Aeromonas Species in Southern Taiwan

“…Despite the gastrointestinal tract is the most common site of infections caused by Aeromonas spp. [1] , [2] , extra-intestinal Aeromonas -associated diseases such as empyema, urinary tract infections, biliary tract infections, peritonitis, and skin and soft-tissue infections have also been reported [7] – [14] . Moreover, bacteremia is another common type of infection caused by Aeromonas species [3] – [6] , [15] – [20] .…”

Port-Related Aeromonas Bacteremia

“…1,2 Although the gastrointestinal tract is the most common site of infection caused by Aeromonas species, 1,2 extraintestinal Aeromonas-associated diseases, such as empyema, urinary tract infections, biliary tract infections, peritonitis, and skin and soft-tissue infections, have also been reported. [3][4][5][6][7] Herein, we report a study undertaken to find cases with unusual presentation of Aeromonas infection associated with subcutaneously implanted port reservoir (eg, port-related infection) and further investigate the associated clinical and microbiological characteristics. This study was conducted at a single institution, a 900-bed hospital located in southern Taiwan.…”

“…10 The antibiotic susceptibility patterns of the clinical isolates in this study were similar to those reported elsewhere. [2][3][4][5][6][7] Third-or fourth-generation cephalosporins or fluoroquinolones may be appropriate antibiotic choices for patients with Aeromonas bacteremia based on the in vitro studies, but clinicians still need to keep in mind the complexity of in vitro and in vivo correlations when choosing antimicrobial treatment for Aeromonas infections. In conclusion, port-related bacteremia caused by Aeromonas species can develop in immunocompromised patients and can be associated with high fatality rates if the catheter is not removed.…”

“…To the Editor-The risk of nosocomial transmission of tuberculosis (TB) to healthcare workers (HCWs) is well known 1 and is a major challenge in developing countries. 2 The risk to HCWs is related to the number of patients with known smear-positive TB admitted to the hospital 3 and whether effective infection control measures are in place. 4 Brazil has clear guidelines for TB infection control, which include the rapid assessment of patients with suspected cases of TB to establish their infectiousness, the use of airborne precautions, and prompt treatment of smear-positive or highly suspected cases.…”

Open fracture wound infections caused by Aeromonas species

“…water, sewage, soil, and tap water in temperate or subtropical countries, such as Taiwan [16][17][18][19][20]. The gastrointestinal tract is the most common site of Aeromonas spp.…”