A case of Aeromonas hydrophila enteritis in the course of ulcerative colitis

Ahıshalı, Emel; Pınarbaşı, Binnur; Akyüz, Filiz; İbrişim, Duygu; Kaymakoğlu, Sabahattin; Mungan, Zeynel

doi:10.1016/j.ejim.2006.12.008

Cited by 11 publications

(7 citation statements)

References 3 publications

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“…Considering the specific bacteria related to IBD onset, Campylobacter is probably the one with more data, while the heterogeneity of the studies does not allow to draw consistent conclusions [ 15 ]. Although data are mainly based on case report studies, some authors have suggested that Aeromonas can be a trigger of flares in IBD [ 16 , 17 , 18 ] and as well as a trigger to develop de novo chronic colitis in patients with no previous history of IBD [ 7 , 19 ]. To our knowledge, only 2 recent studies involving IBD patients have tried to correlate the diagnosis and severity of the disease with Aeromonas infection [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Positioning Aeromonas Infection in Inflammatory Bowel Disease: A Retrospective Analysis

Guedes

Silva

Neves

et al. 2021

GE Port J Gastroenterol

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Background and Aim: Aeromonas are Gram-negative rods known to cause a spectrum of diseases. Inflammatory bowel disease (IBD) is an idiopathic complex condition resulting from interaction of multiple factors. Aeromonas infection in association with IBD is still largely unknown. We aim to look for the significance of Aeromonas infection and for significant differences between IBD and non-IBD patients. Methods: A retrospective observational analysis was performed of all patients positive for Aeromonas in stool cultures, during a 10-year period, from a tertiary and university hospital. Results: Fifty patients were included, 56% male with a mean age of 42.1 years. Thirty-eight (76%) were non-IBD and 12 (24%) IBD patients. IBD patients were more frequently under immunosuppressors. Two patients were asymptomatic and 44% developed mild, 44% moderate, and 16.7% severe infection. The main strains isolated were Aeromonas hydrophila/caviae. Bacterial co-isolation was found in 4 non-IBD and histological findings of cytomegalovirus in 2 IBD patients. Non-IBD patients presented more frequently with fever and IBD patients with bloody diarrhea and abdominal pain. There was higher tendency for severe infection rate in IBD patients with higher antimicrobial therapy use. Steroids were exclusively used in the IBD group. From IBD, 4 patients had the diagnosis of ulcerative colitis and 9 of Crohn’s disease with colonic involvement. Of these patients, 5 received IBD diagnosis after the acute episode of Aeromonas infection. Conclusions: Clinical presentation of Aeromonas infection differs between IBD and non-IBD patients. Non-IBD patients had milder severity of infection with less use of antibiotics. Aeromonas infection seems to greatly contribute to IBD manifestation.

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Section: Introductionmentioning

confidence: 99%

Positioning Aeromonas Infection in Inflammatory Bowel Disease: A Retrospective Analysis

Guedes

Silva

Neves

et al. 2021

GE Port J Gastroenterol

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“…55 Aeromonas has been suggested as a trigger of flares in inflammatory bowel disease (IBD) [56][57][58] and as a trigger to develop de novo colitis in patients with no history of IBD. 57,58,63 In all of these situations, it's therefore recommended to exclude Aeromonas infection together with other common enteropathogens, such as Campylobacter spp, Shigella or Salmonella. 57,58,63 In all of these situations, it's therefore recommended to exclude Aeromonas infection together with other common enteropathogens, such as Campylobacter spp, Shigella or Salmonella.…”

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confidence: 99%

Aeromonas Species

Lobatón

Hoffman

Vermeire

et al. 2015

Inflammatory Bowel Diseases

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“…Ciprofloxacin was used empirically in association with rehydration therapy in cases of gastroenteritis by A. hydrophila ( Van Zwetselaar et al, 2018 ). Oral prescription of the same antibiotic was reported according to the results of the antibiogram performed with an A. hydrophila strain detected by stool culture from a patient experiencing gastroenteritis ( Ahishali et al, 2007 ). Empirical infusion of sulbactam/ampicillin was used to treat enteritis by Aeromonas , with subsequent change of therapy by oral levofloxacin ( Kishimoto and Watari, 2018 ).…”

Section: Antibiotic Responses and Therapeutic Efficacymentioning

confidence: 99%

Aeromonas and Human Health Disorders: Clinical Approaches

et al. 2022

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The genus Aeromonas comprises more than 30 Gram-negative bacterial species and naturally inhabitants from aquatic environments. These microorganisms, commonly regarded as pathogens of fish and several other animals, have been gaining prominence on medical trial due to its ability to colonize and infect human beings. Besides water, Aeromonas are widely spreaded on most varied sources like soil, vegetables, and food; Although its opportunistic nature, they are able to cause infections on immunocompromised or immunocompetent patients. Aeromonas species regarded as potential human pathogens are usually A. hydrophila, A. caviae, and A. veronii biovar sobria. The main clinical manifestations are gastrointestinal tract disorders, wound, and soft tissue infections, as well as septicemia. Regarding to antibiotic responses, the bacteria present a diversified susceptibility profile and show inherence resistance to ampicillin. Aeromonas, as an ascending genus in microbiology, has been carefully studied aiming comprehension and development of methods for detection and medical intervention of infectious processes, not fully elucidated in medicine. This review focuses on current clinical knowledge related to human health disorders caused by Aeromonas to contribute on development of efficient approaches able to recognize and impair the pathological processes.

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A case of Aeromonas hydrophila enteritis in the course of ulcerative colitis

Cited by 11 publications

References 3 publications

Positioning Aeromonas Infection in Inflammatory Bowel Disease: A Retrospective Analysis

Positioning Aeromonas Infection in Inflammatory Bowel Disease: A Retrospective Analysis

Aeromonas Species

Aeromonas and Human Health Disorders: Clinical Approaches

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