<i>Aeromonas</i>Meningitis Complicating Medicinal Leech Therapy

Ouderkirk, John P.; Bekhor, David; Turett, Glenn S.; Murali, Raj

doi:10.1086/381438

Cited by 55 publications

(35 citation statements)

References 5 publications

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“…However, in a few instances, invasive disease has been reported. Aeromonas septicemia has been reported as a consequence of leech therapy in males suffering from crush injuries, accidental amputations, or plastic surgery related to malignancies (77,86,110) and has also seeded secondary infections of the central nervous system (CNS), such as meningitis (229). Most of the aeromonads recovered from such illnesses have been identified as A. veronii bv.…”

Section: Blood-borne Infectionsmentioning

confidence: 99%

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

2010

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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.

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Section: Blood-borne Infectionsmentioning

confidence: 99%

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

2010

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“…A. salmonicida is the causative agent of the fish disease called furunculosis but human disease has not been described (Isonhood and Drake, 2002). Ouderkirk et al (2004) described a case of meningitis caused by A. veronii biovar sobria associated with the use of leech therapy to salvage a skin flap a�er central nervous system surgery.…”

Section: Aeromonas Sppmentioning

confidence: 99%

Fish: a potential source of bacterial pathogens for human beings

Novotny¹,

Dvorská²,

Lorencova³

et al. 2004

Vet. Med.

207

187

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ABSTRACT:Human infections caused by pathogens transmi�ed from fish or the aquatic environment are quite common and depend on the season, patients' contact with fish and related environment, dietary habits and the immune system status of the exposed individual. They are o�en bacterial species facultatively pathogenic for both fish and human beings and may be isolated from fish without apparent symptoms of the disease. The infection source may be fish kept for both for food and as a hobby.

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“…The potential of the Aeromonas species to cause diseases in humans has been studied, but only recently a major number of clinical cases have been confirmed and attributed to these organisms (Clark & Chenoweth 2003;Vila et al 2003;Ouderkirk et al 2004;Pinna et al 2004;Martin-Carnahan & Joseph 2005;Hiransuthikul et al 2005;Daskalov 2006;Hofer et al 2006). Ribeiro et al (2010) Aeromonas species are the most common organisms reported in infections of burns exposed to contaminated water.…”

Section: Introductionmentioning

confidence: 99%

Dynamics of Aeromonas species isolated from wastewater treatment system

Martone-Rocha

Piveli

Matté

et al. 2010

Journal of Water and Health

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Aeromonas are widely distributed in the aquatic environment, and are considered to be emerging organisms that can produce a series of virulence factors. The present study was carried out in a sanitary sewage stabilization pond treatment system, located in Lins, State of Sã o Paulo, Brazil.Most probable number was applied for estimation of the genus Aeromonas. Colony isolation was carried out on blood agar ampicillin and confirmed by biochemical characterization. Aeromonas species were isolated in 72.4% of influent samples, and in 55.2 and 48.3% of effluent from anaerobic and facultative lagoons, respectively. Thirteen Aeromonas species were isolated, representing most of the recognized species of these organisms. Even though it was possible to observe a tendency of decrease, total elimination of these organisms from the studied system was not achieved. Understanding of the pathogenic organism's dynamics in wastewater treatment systems with a reuse potential is especially important because of the risk it represents.

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AeromonasMeningitis Complicating Medicinal Leech Therapy

Abstract: Medicinal leeches have an important and expanding role in medicine, but infection can complicate their use. We describe a unique case of Aeromonas meningitis associated with the use of leech therapy to salvage a skin flap after central nervous system surgery.

Cited by 55 publications

References 5 publications

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

The GenusAeromonas: Taxonomy, Pathogenicity, and Infection

Fish: a potential source of bacterial pathogens for human beings

Dynamics of Aeromonas species isolated from wastewater treatment system

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