Aeromonas sobria necrotizing fasciitis and sepsis in an immunocompromised patient: a case report and review of the literature
| Autor: | Angela Berselli, Riccardo Ragazzi, MV Colamussi, Savino Spadaro, S Zardi, Carlo Alberto Volta, Elisabetta Marangoni, Anna Romanello |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Multiple Organ Failure Chronic lymphocytic leukemia Necrotizing fasciitis Case Report law.invention NO Sepsis Fatal Outcome law Surgical oncology Internal medicine medicine Humans Clinical significance Fasciitis Necrotizing Intensive care medicine Fasciitis Aged Medicine(all) Immunocompromised host Leg Lung business.industry Soft Tissue Infections General Medicine medicine.disease Intensive care unit Aeromonas sobria Radiography medicine.anatomical_structure Bacteremia Aeromonas business |
| Zdroj: | Journal of Medical Case Reports |
| Popis: | Introduction Aeromonas veronii biovar sobria is a rare cause of bacteremia, with several studies indicating that this isolate may be of particular clinical significance since it is enterotoxin producing. A wide spectrum of infections has been associated with Aeromonas species in developing countries that include gastroenteritis, wound infections, septicemia and lung infections. This infection, caused by Aeromonas species, is usually more severe in immunocompromised than immunocompetent individuals. We here describe a case of soft tissue infection and severe sepsis due to Aeromonas sobria in an immunocompromised patient. Case presentation A 74-year-old Caucasian man with a clinical history of chronic lymphocytic leukemia and immune thrombocytopenia, periodically treated with steroids, was admitted to our Intensive Care Unit because of necrotizing fasciitis and multiorgan failure due to Aeromonas sobria, which resulted in his death. The unfortunate coexistence of a Candida albicans infection played a key role in the clinical course. Conclusion Our experience suggests that early recognition and aggressive medical and surgical therapy are determinants in the treatment of severe septicemia caused by an Aeromonas sobria in an immunocompromised patient. |
| Databáze: | OpenAIRE |
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