Aeromonas hydrophila Myonecrosis in an Immunocompetent Patient

Mi-Hyang Jung; Kwan-Hyun Lee; Dae-Yeun Hwang; Kwan-Hoon Jo; Sun-Young Han; Seon-A Kim; Sang-Rok Lee

doi:10.3947/ic.2011.43.2.213

Journal List > Infect Chemother > v.43(2) > 1035078

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Jung, Lee, Hwang, Jo, Han, Kim, and Lee: Aeromonas hydrophila Myonecrosis in an Immunocompetent Patient

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2011; 43(2): 213-216.

Published online: 30 April 2011

DOI: https://doi.org/10.3947/ic.2011.43.2.213

Aeromonas hydrophila Myonecrosis in an Immunocompetent Patient

Mi-Hyang Jung, Kwan-Hyun Lee, Dae-Yeun Hwang, Kwan-Hoon Jo, Sun-Young Han, Seon-A Kim, Sang-Rok Lee

Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.

Correspondence to Sang-Rok Lee, M.D. Division of Infectious Diseases, Department of Internal Medicine, Cheongju St.Mary's Hospital, Jujung-Dong, Sangdang- Gu, Cheongju 360-568, Chungcheongbuk-do, Korea. Tel: +82-43-219-8000, Fax: +82-43-219-9030, evergreenlee@nate.com

Received 29 October 2010 Revised 18 February 2011 Accepted 21 February 2011

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aeromonas hydrophila is a facultative anaerobic Gram negative bacillus. It usually thrives in fresh and brackish water and primarily causes gastroenteritis in humans. Rarely aeromonads have been associated with extra-intestinal infections, such as skin and soft infection, meningitis, epidural abscess, endocarditis and pneumonia in immunocompromised hosts. Here we report Aeromonas hydrophila soft tissue infection occurring in a 53-year-old Korean woman without underlying disease who was successfully treated with proper antibiotics.

Keywords: Aeromonas hydrophila, Soft tissue infection

Figures and Tables

Figure 1

(A) Both the patient's lower legs show redness and swelling on the third hospital day. (B) The patient was treated with multiple broad spectrum antibiotics. On the eighth hospital day, the lesion improved.

Figure 2

Magnetic resonance imaging of the lower leg (Coronal contrast-enhanced fat-suppressed T1-weighted image) reveals longitudinally arranged, rim-enhancing, cavitary lesion, consistent with intramuscular abscess.

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