A Severe Case of Aeromonas Sobria Sepsis after Surgery for Cancer of the Gastric Remnant.

An Aeromonas veronii biovar sobria infection with disseminated intravascular gas production

“…18 Three of the patients were also complicated by diabetes mellitus. 6,7,9 Although subcutaneous emphysema such as gas gangrene was reported in 3 patients, 9,11,18 there was no report of intravascular gas-producing infection. Hemolysis was evidenced in only 1 of the reported patients.…”

“…[6][7][8][9][10][11][12][13][14][15][16][17][18] All patients had an underlying illness: there were 14 with liver cirrhosis, 6-12 6 with malignant hematological diseases, 6,13-16 and 1 patient each with cholangiocarcinoma, 8 alcoholic hepatitis, 8 chronic multiple organ failure, 16 adhesive ileus, 17 and gastric cancer. 18 Three of the patients were also complicated by diabetes mellitus. 6,7,9 Although subcutaneous emphysema such as gas gangrene was reported in 3 patients, 9,11,18 there was no report of intravascular gas-producing infection.…”

“…14,17,18 The early administration of these antibiotics should reduce the fatality rate in such infections, but infection was not suspected from our patient's signs and symptoms (i.e., there was no fever or leukocytosis). It is therefore important to keep the possibility of such an infection in mind when a patient complains of severe muscle pain.…”

Postoperative Infektion eines epigastrischen Hämatoms mit Aeromonas veronii biovar sobria

“…In der Literatur sind Fälle von nekrotisierender Myositis [8], Peritonitis [9] und vor allem Septikämien [1,5,10,11,15] beschrieben. Die Betroffenen waren hauptsächlich Männer mittleren Alters und durch verschiedene maligne Grundleiden [5,6,7,8,9,10,14] für schwere Infektionen durch Aeromonas spp.…”

“…begünsti-gen [4,5,7,9,10,12,14,15,16]. Ein Patient hatte in der Vorgeschichte ebenfalls ein Magenkarzinom [11]. Schwere Aeromonas-spp.-Infektionen sind bei immunkompetenten Patienten selten beschrieben worden [12,13].…”