Cellulitis and Compartment Syndrome Due to Plesiomonas Shigelloides: A Case Report

Abstract

We report a case of cellulitis, compartment syndrome, and septicemia associated with fish handling. The etiologic pathogen isolated from the wound and blood cultures was Plesiomonas shigelloides. The pathogen can cause serious illness in people handling fish.

A Case of Plesiomonas shigelloides Cellulitis and Bacteraemia from Northern Europe

“…P. shigelloides bacteraemia with local cellulitis after fish handling has previously, to our knowledge, been reported in only two instances (4,5). Both patients developed cellulitis involving hand and arm, approximately 2 days after obtaining deep puncture wounds while handling fish.…”

Successful Liver Transplantation from Donor withPlesiomonas shigelloidesSepsis after Freshwater Drowning: Case Report and Review of Literature on Gram-Negative Bacterial Aspiration during Drowning and Utilization of Organs from Bacteremic Donors

“…These patients did not present with enteric infection but rather with cholangitis. Other reported rare infections caused by P. shigelloides include proctitis in a bisexual man that led to fatal sepsis, neonatal meningitis, necrotizing fasciitis, osteomyelitis, ophthalmitis, and intraabdominal abscesses; an impaired immune system is a common finding [63][64][65][66][67][68][69]. Humphreys et al described a patient with liver cirrhosis and spontaneous infection of the pleural space with sepsis [70].…”

Septic shock caused by Plesiomonas shigelloides in a patient with sickle beta-zero thalassemia

“…11-15 Bacteremia due to P. shigelloides has been described in several clinical situations, including biliary tract diseases, 8 polymicrobial bacteremia, 9 human immunodeficiency virus-related immunodeficiency, 10 immunosuppression after allogeneic bone marrow transplantation, 11 leukemia, 12 and multiple myeloma, 13 as well as in patients with hemochromatosis, 14 thalassemia intermedia hematologic disorder, 15 and functional 16 or anatomic 18 splenectomy. Cases of severe infection associated with acute respiratory distress syndrome and disseminated intravascular coagulation, as well as extraintestinal diseases, such as spleen abscess, 15 ophthalmitis, 3 meningitis, 19,20 cellulitis, 21,22 and orchi-epididymitis, 23 have also been reported. The most severe events are more frequently seen in patients with impaired immunologic function or those with hepatobiliary disturbances, including biliary lithiasis, when cholestasis and cholangitis would support infection.…”