Septicemia due to Aeromonas hydrophila in aPregnant Woman: A Case Report and Review of the Literature

Abstract

Background: In the late 1960s, the first isolates of Aeromonas were recovered from human specimens. Presently, there is sufficient evidence to suggest that the different isolates of the genus Aeromonas are human pathogens. The most frequent site of infection is the digestive tract, although extraintestinal infection also occurs. In those cases involving septicemia, most infections occur in individuals with underlying diseases. This report presents the case of a pregnant woman with no underlying disease or signs of immunodeficiency who developed A. hydrophila septicemia at 24 weeks gestation. Case: A 20-year-old pregnant woman was admitted with a history of 10 days of fever, chills, and diaphoresis. Three days before her hospitalization, she noted jaundice and choluria. Her liver was enlarged and her liver function tests were abnormal, with a moderate elevation of serum aminotransferases and direct serum bilirubin and a high serum alkaline phosphatase. Her blood and bone-marrow cultures revealed A. hydropkila. She was treated with parenteral ceftriaxone. She experienced a complete remission of her symptoms and laboratory abnormalities after therapy. The remainder of the pregnancy was normal. At 39.2 weeks gestation, she delivered a healthy male infant. Conclusion: An association was noted between pregnancy and A. hydrophila septicemia in a woman without immunodeficiency or underlying disease, possibly indicating another infectious complication in pregnancy.

Aeromonas hydrophila urinary tract infection in pregnancy- Case report and literature review

“…She had a complete remission after treatment with parenteral ceftriaxone. 8 Our case report is of a pregnant woman with no underlying disease or signs of immunodeficiency who developed A. hydrophila UTI at 12 weeks gestation. She also presented with complaints of fever, burning micturation and increased frequency.…”

“…Recent review of literature reveals only four cases of urinary infection with Aeromonas spp in the English language articles and none in association with pregnancy, though one case of A. septicaemia has been reported in pregnancy. 8 The recent literature on Aeromonas urinary tract infections identifies some key features. In the three cases reported there are some underlying abnormalities.…”

Aeromonasspp. Bacteremia in Pregnant Women, Thailand–Myanmar Border, 2011

“…One other case of invasive Aeromonas spp. infection during pregnancy ( A. hydrophila sepsis at week 24 of gestation) has been reported; the focus of infection in that case was hepatobiliary, and normal pregnancy outcome was documented ( 2 ). For the 3 case-patients reported here, miscarriage occurred for all.…”

“…bacteria cause a broad spectrum of human infections ( 1 ). Invasive infections can be associated with exposure to contaminated water and occur frequently in patients with underlying immunosuppression or trauma but only infrequently in pregnant women ( 2 ). During January–May 2011, Aeromonas spp.…”

Urinary tract infection due to Aeromonas spp., a lesser known causative bacterium

“…These organisms can affect any age group. There have been reports of vaginal colonization with Aeromonas from normal pregnant females [10] and patients in labour [11].…”