Fatal Plesiomonas shigelloides in a Newborn

Meningoencephalitis caused by Plesiomonas shigelloides in a Chinese neonate: case report and literature review

“…Although, in our case immediate, primary therapy was commenced with meropenem-previously used with success in the treatment of bacterial meningitis [ 14 ] – we were not able to prevent extensive destruction of the central nervous system. Such result intimated that the invasion of the Plesiomonas shigelloides to the brain is very fast.…”

“…Symptoms began after the first day in all of the cases suggesting a perinatal, rather than transplacental infection. Only three cases have been reported the isolation of the organism from the maternal faeces [ 6 , 9 , 14 ], and it seems difficult to determine the source and route of this infection notwithstanding a vigorous survey in other cases.…”

“…Four of five survived neonates were treated with cefotaxime [ 9 , 12 , 13 , 15 ]. Five patients treated with ampicillin plus an aminoglycoside or rifampicin died [ 4 , 5 , 7 , 8 , 14 ]. Only one cured patient without neurological deficits was treated with penicillin G and gentamicin first and gentamicin alone subsequently for 15 days [ 6 ].…”

Aislamiento e identificación de especies pertenecientes a los géneros Aeromonas, Vibrio y Plesiomonas procedentes de muestras extra-intestinales en Cuba

“…Plesiomonas shigelloides, está asociada con alto grado de morbilidad y mortalidad en infección extraintestinal 23 . Nuestros resultados están acordes con lo publicado por Riley PA y cols, quienes aislaron este microorganismo de un niño con leucemia, en una muestra de hemocultivos 24 .…”

Purificação e caracterização de uma toxina enterotóxica, citotóxina e letal produzida por amostras de Plesiomonas shigelloides isoladas de água de rio.

“…Nos Estados Unidos da América quatro surtos ocorreram e foram descritos por Rutala et al (1982), Miller e Koburger (1985) e Levy et al (1998); um surto ocorreu em Cuba, reportado por Bravo et al (2000); um na Holanda reportado por Medema e Schets (1993). Uma série de casos é reportada de outros países, em diferentes áreas geográficas, sobre infecções gastrointestinais causadas por P. shigeloides, como na Suíça (Claesson et al, 1984), em Connecticut -USA (Ingram et al, 1987), Alemanha (Fischer et al, 1988), New York -USA (Nolte et al, 1988), no Peru (Olsvik, et al, 1990), Bangladesh (Albert et al, 1999), Malásia (Issa et al, 1999), Cuba (Bravo et al, 1999), Hong…”