Maternal peripartum septic shock caused by intrauterine infection with <i>Edwardsiella tarda</i>: <scp>A</scp> case report and review of the literature

Miyazawa, Yuki; Murakami, Keisuke; Kizaki, Yuichiro; Itaya, Yukiko; Takai, Yasushi

doi:10.1111/jog.13476

Cited by 10 publications

(7 citation statements)

References 15 publications

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“…1 Although the gastrointestinal tract is the site most often involved (presenting as a self-limited gastroenteritis), other manifestations such as pelvic or intra-abdominal abscesses, vertebral osteomyelitis and epidural abscess, wound infections and myonecrosis, and bacteremia can occur. [2][3][4][5][6][7][8] Systemic infection usually presents in patients with underlying chronic conditions, and mortality rates in these patients can be as high as 50%. [9][10][11] Predisposing illnesses include diabetes, hepatobiliary and bowel diseases, sickle cell disease, and immunodeficiencies.…”

Section: Discussionmentioning

confidence: 99%

“…Edwardsiella species are generally found in marine animals and their habitats, but humans may be incidentally infected through exposure to water environments or ingestion of contaminated raw seafood 1 . Although the gastrointestinal tract is the site most often involved (presenting as a self-limited gastroenteritis), other manifestations such as pelvic or intra-abdominal abscesses, vertebral osteomyelitis and epidural abscess, wound infections and myonecrosis, and bacteremia can occur 2–8 . Systemic infection usually presents in patients with underlying chronic conditions, and mortality rates in these patients can be as high as 50% 9–11 .…”

Section: Discussionmentioning

confidence: 99%

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Edwardsiella tarda Bacteremia With Tubo-Ovarian Abscess

Gardner

Dunn

White

et al. 2022

Infect Dis Clin Pract

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Edwardsiella tarda infection is infrequently encountered in humans. Exposure most often occurs through consumption of raw seafood or activities in bodies of fresh or brackish water, and systemic infections can have a high mortality rate. We present the case of a 32-year-old woman who presented with abdominal pain, nausea, vomiting, and diarrhea. She was septic and was started on broad-spectrum antibiotics after cultures were drawn. Imaging showed pyosalpinx/tubo-ovarian abscess that was refractory to systemic antibiotics and ultimately required surgical management. Two blood cultures and an intraoperative abscess culture grew pan-susceptible E. tarda. Postoperatively, the patient's clinical status quickly improved, and she was doing well at her follow-up visit. To the best of our knowledge, cases of E. tarda bacteremia in the setting of tubo-ovarian abscess have not previously been reported, and this case is particularly unusual in that the patient is young and without predisposing chronic medical conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Edwardsiella tarda Bacteremia With Tubo-Ovarian Abscess

Gardner

Dunn

White

et al. 2022

Infect Dis Clin Pract

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“…E. tarda can also cause bloodstream infections and septic shock, with a poor prognosis. The mortality of septicemia caused by E. tarda infection is 38% [ 3 – 6 ]. Therefore, E. tarda bloodstream infections are dangerous and acute, which is relevant in immunocompromised patients.…”

Section: Introductionmentioning

confidence: 99%

A case report and review of acute cholangitis with septic shock induced by Edwardsiella tarda

Ding

Men

2022

Ann Clin Microbiol Antimicrob

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Background Edwardsiella tarda (E. tarda) is a gram-negative facultative anaerobic bacterium. Gastroenteritis is the most common manifestation of E. tarda infection. However, parenteral infections can occur in immunodeficient hosts, as well as hepatobiliary diseases, malignancies, and/or diabetes. The prognosis of sepsis caused by E. tarda is very worse, with a mortality rate of 38%. We report the occurrence of acute cholecystitis with septic shock and E. tarda bloodstream infection. Case presentation A 64-year-old male with acute cholecystitis secondary to hepatitis B virus infection showed fever and sudden upper abdominal pain. On arrival, right upper abdominal pain, nausea, vomiting, fever, and jaundice were observed. Computed tomography showed common bile duct stones and gallbladder stones. Choledocholithiasis with acute cholangitis was diagnosed and treated surgically. Due to septic shock, a blood culture was assessed showing E. tarda as the main pathogen. Choledocholithotomy, T-tube drainage, cholecystectomy, and intravenous antibiotic treatment after the operation. The patient recovered smoothly after the operation. Conclusions Although E. tarda infection is extremely rare, it can cause rapid episodes of rapidly progressive and life-threatening disease, as well as intestinal and parenteral infections. If necessary, early surgical treatment of parenteral infection should be considered and antibiotics should be used in time.

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“…Edwardsiella tarda is a gram-negative, facultative anaerobe that is a member of the family Enterobacteriaceae and was first described by Ewing et al in 1965 [ 1 ]. Since then, a growing body of literature has reported E. tarda isolates particularly related to brackish water and marine ecosystems, including reptiles, amphibians, and fish [ 2 ]. E. tarda human infections are rare and mainly present as gastroenteritis; however, extraintestinal and systemic infections have been reported that, when present, are a potentially life-threatening condition carrying up to 50% risk of mortality [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Fulminant septic shock due to Edwardsiella tarda infection associated with multiple liver abscesses: a case report and review of the literature

et al. 2020

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Introduction Edwardsiella tarda uncommonly infects humans. The usual presentation is mild gastroenteritis, but systemic manifestations may occur. Lethal infections are rarely documented in patients with underlying disorders. Case presentation A previously healthy 37-year-old Southeast Asian woman presented to our hospital with recent onset of abdominal pain, fever, and vomiting. Her condition rapidly deteriorated with signs and symptoms of fulminant septic shock; thus, she was intubated, supported with intravenous vasopressors and fluids, and transferred to the intensive care unit. An abdominal computed tomographic scan with contrast revealed multiple liver abscesses. Blood cultures were obtained and computed tomography–guided percutaneous drainage of the liver abscesses with supplementary cultures was performed; thereafter, empirical broad-spectrum antibiotics were initiated. All cultures grew E. tarda, whereas an antibiogram showed resistance to broad-spectrum antibiotics and sensitivity to ciprofloxacin and aminoglycosides; thus, the antibiotic regimen was updated accordingly. The patient made an uneventful recovery and was discharged from the intensive care unit 14 days after admission. Conclusion E. tarda human infection can present as liver abscess and fulminant septic shock. E. tarda strains can be resistant to broad-spectrum antibiotics; hence, culture-based antibiotics should be used accordingly. Clinicians should be aware of this rare and potentially lethal infection.

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Maternal peripartum septic shock caused by intrauterine infection with Edwardsiella tarda: A case report and review of the literature

Cited by 10 publications

References 15 publications

Edwardsiella tarda Bacteremia With Tubo-Ovarian Abscess

Edwardsiella tarda Bacteremia With Tubo-Ovarian Abscess

A case report and review of acute cholangitis with septic shock induced by Edwardsiella tarda

Fulminant septic shock due to Edwardsiella tarda infection associated with multiple liver abscesses: a case report and review of the literature

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