Clinical Significance of Spontaneous<i>Aeromonas</i>Bacterial Peritonitis in Cirrhotic Patients: A Matched Case‐Control Study

Choi, Jeongyong; Lee, Sang‐Oh; Kwon, Hyunhee; Kwak, Yee Gyung; Choi, Seong–Jun; Lim, Seung Kwan; Kim, Seung Up; Jeong, Jin‐Yong; Choi, Sang‐Ho; Woo, Jun Hee; Kim, Yang Soo

doi:10.1086/588665

Cited by 43 publications

(38 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A. hydrophila is by far the most common species associated with bacterial peritonitis in Southeast Asia, accounting for 95% or more of all reported cases, although other species, including A. veronii bv. sobria, may be involved (41,124,202). In most cases, it is unclear where the source of infection originates.…”

Section: Intra-abdominal Infectionsmentioning

confidence: 99%

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

2010

View full text Add to dashboard Cite

SUMMARY Over the past decade, the genus Aeromonas has undergone a number of significant changes of practical importance to clinical microbiologists and scientists alike. In parallel with the molecular revolution in microbiology, several new species have been identified on a phylogenetic basis, and the genome of the type species, A. hydrophila ATCC 7966, has been sequenced. In addition to established disease associations, Aeromonas has been shown to be a significant cause of infections associated with natural disasters (hurricanes, tsunamis, and earthquakes) and has been linked to emerging or new illnesses, including near-drowning events, prostatitis, and hemolytic-uremic syndrome. Despite these achievements, issues still remain regarding the role that Aeromonas plays in bacterial gastroenteritis, the extent to which species identification should be attempted in the clinical laboratory, and laboratory reporting of test results from contaminated body sites containing aeromonads. This article provides an extensive review of these topics, in addition to others, such as taxonomic issues, microbial pathogenicity, and antimicrobial resistance markers.

show abstract

Section: Intra-abdominal Infectionsmentioning

confidence: 99%

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

2010

View full text Add to dashboard Cite

show abstract

“…Kolanjit yaptığı bilinmekteyse de ülkemizde bu konuyla ilgili bir olgu sunumuna rastlanmamıştır. Malignite gibi altta yatan hastalığı olan insanlarda hızla çoğalıp sepsise neden olarak ölümcül olabilmektedir (8)(9)(10). Aeromonas türleriyle hepatobiliyer sistem ve pankreas infeksiyonlarında karşılaşılabilir.…”

Section: İrdelemeunclassified

A Case of Acute Suppurative Cholangitis Caused by a Carbapenem-Resistant Aeromonas hydrophila/caviae

İrvem¹,

Aksaray²,

Canbak³

et al. 2016

Klimik Dergisi

View full text Add to dashboard Cite

Aeromonas spp. are associated with resistance to penicillins, cephalosporins, and carbapenems due to chromosomal β-lactamases. In this case report, it was aimed to present a patient with acute suppurative cholangitis caused by a carbapenem-resistant A. hydrophila/caviae. A 79-year-old male patient applied to emergency department with complaints of jaundice, abdominal pain, nausea and vomiting. The patient followed with an inoperable malignant tumor of the extrahepatic biliary tract was diagnosed to have an attack of acute suppurative cholangitis by radiological and laboratory findings, and intravenous imipenem was started empirically. Percutaneous abscess drainage was performed, and Gram-stained smear yielded abundant number of leukocytes and Gram-negative bacilli. Gram-negative bacilli grown both in drainage material and in blood culture becoming positive two days later were identified as A. hydrophila/caviae by VITEK ® 2 Compact (bioMérieux, Marcy l'Etoile, France) system. Antibiogram results obtained by the same system revealed that the bacteria were resistant to carbapenems and sensitive to colistin, cefepime, amikacin, gentamicin, ciprofloxacin, levofloxacin, trimethoprim-sulfamethoxazole, and tigecycline. It was learned that the patient was died of sepsis when the microbiological findings were reported to the Intensive Care Unit. In conclusion, Aeromonas species, albeit rare, can be responsible for hepatobiliary infections in immunosupressed patients, and the choice of antibiotic should be based on their potential resistance profile. Klimik Dergisi 2016; 29(1): 36-8.

show abstract

“…Peritonitis caused by Aeromonas spp. is rare, with most reports focusing on spontaneous bacterial peritonitis (16)(17)(18) or peritoneal dialysis peritonitis (19)(20)(21). In contrast, knowledge regarding secondary peritonitis caused by Aeromonas is limited (22).…”

Section: Introductionmentioning

confidence: 99%

Peritonitis Caused by <i>Aeromonas</i> Species at a Hospital in Southern Taiwan

Lin

Lai

et al. 2013

Intern. Med.

View full text Add to dashboard Cite

Objective This study was conducted to investigate the clinical characteristics of patients with Aeromonas peritonitis, particularly secondary peritonitis. Methods Patients with Aeromonas peritonitis treated between July 2004 and December 2011 were identified from the computerized database of a regional hospital in southern Taiwan. The medical records of these patients were retrospectively reviewed. Results A total of 50 patients with Aeromonas peritonitis were identified. Nine cases were classified as spontaneous bacterial peritonitis, and 41 cases were classified as secondary peritonitis. The most common etiology of secondary peritonitis was acute appendicitis (n=26), followed by small bowel perforation (n=7) and colon perforation (n=6). The patients with spontaneous bacterial peritonitis were more likely to be immunocompromised (p=0.0013) and more frequently had an initial presentation of shock (p=0.0129), an abnormal liver function (p<0.05) and concomitant bacteremia (p=0.0024) than the patients with secondary peritonitis. Although the patients with secondary peritonitis had higher levels of inflammatory parameters, including leukocytes and C-reactive protein, and more frequent polymicrobial infections, their survival outcome rates, such as in-hospital mortality, were significantly lower (p=0.0007). The overall in-hospital mortality rate was 20%, and initial shock was the only independent prognostic factor for mortality (p=0.012). Conclusion The clinical characteristics, including outcomes, of patients with spontaneous and secondary Aeromonas peritonitis differ. In-hospital mortality is significantly associated with the initial presentation of shock.

show abstract

Clinical Significance of SpontaneousAeromonasBacterial Peritonitis in Cirrhotic Patients: A Matched Case‐Control Study

Abstract: Aeromonas species should be considered to be a causative organism of SBP in cirrhotic patients presenting with diarrheal episodes during the warm season. Compared with SBP caused by other organisms, SBP due to Aeromonas species was not associated with more-advanced cirrhosis.

Cited by 43 publications

References 24 publications

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

A Case of Acute Suppurative Cholangitis Caused by a Carbapenem-Resistant Aeromonas hydrophila/caviae

Peritonitis Caused by <i>Aeromonas</i> Species at a Hospital in Southern Taiwan

Contact Info

Product

Resources

About