Aeromonas Bacteremia in Patients with Hematologic Diseases
Autor: | Hisashi Funada, Tamotsu Matsuda |
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Rok vydání: | 1997 |
Předmět: |
Adult
Male medicine.medical_specialty Carbapenem Bacteremia Neutropenia Gastroenterology Internal medicine Internal Medicine medicine Humans Aged Enterocolitis Acute leukemia Leukemia biology business.industry Lymphoma Non-Hodgkin Mortality rate Anemia Aplastic General Medicine Middle Aged medicine.disease biology.organism_classification Surgery Aeromonas hydrophila Aeromonas Acute Disease Female medicine.symptom Gram-Negative Bacterial Infections business medicine.drug |
Zdroj: | Internal Medicine. 36:171-174 |
ISSN: | 1349-7235 0918-2918 |
DOI: | 10.2169/internalmedicine.36.171 |
Popis: | Over a 23-year period, 17 patients with hematologic diseases developed Aeromonas bacteremia while in our hematology ward. Male predominance (14 patients, 82 %) was seen, with a predilection for the elderly. Hematologic malignancies, especially acute leukemia, accounted for 15 (88%) of all patients. Cancer chemotherapy and neutropenia (15 patients each) were the most common preceding host conditions. Aeromonas bacteremia generally occurred in the second half of the year (July-December), with no exposure to water or fish. Seven recent isolates comprised Aeromonas sobria (five isolates) and Aeromonas hydrophila (two isolates). Twelve patients (71%) showed a clinical picture ranging from mild gastroenteritis to severe enterocolitis. Anorectal and hepatobiliary infections were also noted in a few patients. The overall mortality rate was 35%. Ten (77%) of the 13 patients who were treated with aminoglycoside plus cephalosporin or carbapenem survived in association with marrow recovery.(Internal Medicine 36: 171-174, 1997) |
Databáze: | OpenAIRE |
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