Three Fatal Cases of Soft Tissue Infectin with Vibrio vulnificus, Aeromonas sobria, Aeromonas hydrophila, Respectively in Patients with Liver Cirrhosis.

Tateyama, Sunao; Miyaguni, Hitoshi; Tsumori, Shinichiro; Era, Kozo; Ogata, Kenichi

doi:10.2336/nishinihonhifu.60.653

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…17 Five patients complained of pain in a lower extremity. 7,9,11,12,14 As in our patient, the infection sources were not elucidated.…”

Section: Discussionmentioning

confidence: 49%

“…[6][7][8][9][10][11][12][13][14][15][16][17][18] All patients had an underlying illness: there were 14 with liver cirrhosis, 6-12 6 with malignant hematological diseases, 6,13-16 and 1 patient each with cholangiocarcinoma, 8 alcoholic hepatitis, 8 chronic multiple organ failure, 16 adhesive ileus, 17 and gastric cancer. 18 Three of the patients were also complicated by diabetes mellitus.…”

Section: Discussionmentioning

confidence: 99%

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An Aeromonas veronii biovar sobria infection with disseminated intravascular gas production

Shiina¹,

Kunio

Iwanaga

2004

Journal of Infection and Chemotherapy

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“…17 Five patients complained of pain in a lower extremity. 7,9,11,12,14 As in our patient, the infection sources were not elucidated.…”

Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

An Aeromonas veronii biovar sobria infection with disseminated intravascular gas production

Shiina¹,

Kunio

Iwanaga

2004

Journal of Infection and Chemotherapy

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“… 12,13 Recently, three out of five cases of A. sobria infection with severe soft tissue damage were reported in patients with liver cirrhosis. 25 Therefore, 11 out of 30 cases, including the present case, of A. sobria infection were associated with liver cirrhosis. Interestingly, eight of the 11 cases had alcoholic liver cirrhosis.…”

Section: Discussionmentioning

confidence: 55%

Aeromonas sobria infection with severe soft tissue damage and segmental necrotizing gastroenteritis in a patient with alcoholic liver cirrhosis

Itoh¹,

Kuwata²,

Tateyama³

et al. 1999

Pathology International

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A 49-year-old man, who had a 3-year history of liver dysfunction but had not been treated, was admitted to the hospital with a sudden onset of fever and generalized muscle pain. He subsequently developed generalized purpura with scattered hemorrhagic bullae of the skin and massive bloody stools. Aeromonas sobria was proven by culture of both blood and bullous fluid. In spite of the extensive treatment with antibiotics and other medications in the intensive care unit (ICU), the patient went into septic shock and died 2 days after admission. Pathological examination on autopsy revealed segmental necrotizing gastroenteritis with bacterial colonies and alcoholic liver cirrhosis, in addition to extensive severe soft tissue damage involving cellulitis and rhabdomyolysis and epidermolysis. Although the prognosis for Vibrio vulnificus infection with severe soft tissue damage in patients with liver cirrhosis, malignancy, diabetes mellitus or other pre-existing diseases is poor, the unfavorable progression of Aeromonas species, especially A. sobria infection is rare. This is thought to be the first report of an autopsied case.

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“…The clinical characteristics and prognoses of 25 reported cases of Aeromonas infections in patients with LC in Japan reported from 1992 to 2016 are summarized in Table 1. Among the 25 cases, three were reported in English [4,13,14] and the remaining 22 in Japanese [9,11,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. The age at diagnosis of Aeromonas infection ranged between 40 and 78 years, and 19 patients were male and five were female with one case unknown.…”

Section: Case Reports Of Aeromonas Infections In Japanmentioning

confidence: 99%

“…The age at diagnosis of Aeromonas infection ranged between 40 and 78 years, and 19 patients were male and five were female with one case unknown. The etiology of LC was as follows: hepatitis C virus (HCV) infection in six cases [13,21,22,25,29], hepatitis B virus infection in six [9,11,16,26,27,30], alcohol-related in nine [4,14,15,17,20,21,23,28,31] HCV infection plus alcoholrelated in one [22], and unknown in three [18,19,24]. The Child-Pugh classification of underlying liver dysfunction was as follows; Child C in nine, Child B in one, and unknown in 15 cases.…”

Section: Case Reports Of Aeromonas Infections In Japanmentioning

confidence: 99%

Aeromonas Infections in Patients with Liver Cirrhosis in Japan

Shizuma¹

2019

J Liver

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Aeromonas species are recognized as opportunistic pathogens that cause serious problems in patients with liver cirrhosis (LC). In this article, 25 case reports of Aeromonas infections in patients with LC in Japan are reviewed and summarized. Among the 25 cases, cases of septicemia or skin and soft tissue infections have been relatively well reported. In total, the 1-month mortality rate was 68% (17/25), whereas the overall survival rate was 32% (8/25). In particular, among 16 cases with skin and soft tissue infections, 12 (75%) died within the first 4 days after admission, regardless of the administration of antimicrobial agents and/or lower limb amputation, indicating extremely poor short-term prognosis.

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Three Fatal Cases of Soft Tissue Infectin with Vibrio vulnificus, Aeromonas sobria, Aeromonas hydrophila, Respectively in Patients with Liver Cirrhosis.

Cited by 7 publications

References 8 publications

An Aeromonas veronii biovar sobria infection with disseminated intravascular gas production

An Aeromonas veronii biovar sobria infection with disseminated intravascular gas production

Aeromonas sobria infection with severe soft tissue damage and segmental necrotizing gastroenteritis in a patient with alcoholic liver cirrhosis

Aeromonas Infections in Patients with Liver Cirrhosis in Japan

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