1/46. flavobacterium meningosepticum sepsis in an infant with a diarrheal prodrome.A full term, previously normal 2 1/2-month-old black boy was transferred to our hospital from an outlying facility on hospital day 5 for failure to thrive. Three weeks before transfer, the infant was hospitalized for a diarrheal illness with fever. The baby received 3 days of ceftriaxone empirically and was discharged home after the sepsis evaluation was negative. Mild diarrhea and steady weight loss continued and the baby was readmitted. blood culture done on admission grew flavobacterium meningosepticum, an organism previously described as an uncommon cause of sepsis in neonates and immunocompromised individuals. As it is water-borne, it has been associated with infection via contaminated water. This organism is usually resistant to antibiotics commonly used for empiric treatment. To our knowledge, this is the first reported case of flavobacterium bacteremia associated with a prodromal and concurrent diarrheal illness.- - - - - - - - - - ranking = 1keywords = water (Clic here for more details about this article) |
2/46. ochrobactrum anthropi bacteremia.ochrobactrum anthropi (O. anthropi ), formerly known as achromobacter CDC group Vd, is a gram-negative bacillus that is aerobic, oxidase producing, and nonlactose fermenting. This organism has been found in environmental and hospital water sources and has pathogenic potential in humans. Most reports in the literature of O. anthropi bacteremia are associated with intravenous line infections. We describe a case of bacteremia with O. anthropi in a 33-month-old boy with acute osteomyelitis. O. anthropi bacteremia also has been reported in immunocompromised hosts. Rarely, O. anthropi has been a cause of soft tissue or bone infection.- - - - - - - - - - ranking = 0.5keywords = water (Clic here for more details about this article) |
3/46. edwardsiella tarda bacteraemia--complicated by acute pancreatitis and pyomyoma.edwardsiella tarda (E. tarda) has recently become recognized as a pathogen in humans. Here we report a new case of E. tarda bacteraemia complicated by acute pancreatitis and pyomyoma. A 46-year-old female came to our emergency room complaining of sudden onset of left upper quadrant pain and vomiting for the previous few hours after drinking three bottles of wine. An abdominal computed tomography (CT) scan revealed multiple biliary stones, acute pancreatitis with extensive inflammatory change, and a large uterine myoma. fever, watery diarrhoea, and mild suprapubic discomfort with vaginal spotting were noted soon after admission. The patient's blood cultures yielded E. tarda and symptoms subsided after antibiotic therapy. fever and severe suprapubic pain with rebound tenderness developed 12 days later. Repeat abdominal CT scan revealed an enlarged uterine myoma with central necrosis. The patient subsequently underwent anterior total hysterectomy and bilateral salpingo-oophorectomy, revealing a uterine myoma with infarction and abscess formation. The patient recovered uneventfully and was discharged 1 week later.- - - - - - - - - - ranking = 0.5keywords = water (Clic here for more details about this article) |
4/46. serratia marcescens bacteremia after carotid endarterectomy and coronary artery bypass grafting.serratia marcescens is a common, water-borne hospital colonizer. Respiratory secretions, wounds, and urine are frequently recognized areas of Serratia colonization. Serratia bacteremias usually occur nosocomially and are associated with high mortality and morbidity rates. Serratia bacteremias may be primary or secondary from an identifiable source. Hospital-acquired S marcescens bacteremias have no known source in half of the cases. We present a case of nosocomial primary S marcescens bacteremia in a surgical patient successfully treated with levofloxacin.- - - - - - - - - - ranking = 0.5keywords = water (Clic here for more details about this article) |
5/46. Primary vibrio vulnificus bacteremia in a liver transplant recipient after ingestion of raw oysters: caveat emptor.vibrio vulnificus is responsible for severe infections in chronically ill patients. Organ transplant recipients are also at risk for severe infections due to V vulnificus. We report here the first case of V. vulnificus primary bacteremia due to raw shellfish consumption in a liver transplant recipient. All transplant patients should be cautioned against consuming uncooked seafood and warned about the risk of severe vibrio infections from seemingly innocuous wounds acquired in a salt water environment.- - - - - - - - - - ranking = 0.5keywords = water (Clic here for more details about this article) |
6/46. Vibrio parahemolyticus bacteremia: case report.Vibrio parahemolyticus (V. parahemolyticus) is a halophilic gram-negative bacillus that lives in the ocean. It is the leading cause of infectious diarrhea in taiwan and sometimes produces soft tissue infections, but it is rarely a cause of bacteremia. There have been only 11 cases reported in the literature. Most of the cases involved a history of ingestion of seafood or exposure to seawater. In addition, those patients were all immunosuppressed, especially with leukemia and cirrhosis. We report a 60-year-old male patient with chronic hepatitis c and adrenal insufficiency. He developed V. parahemolyticus bacteremia following ingestion of seafood one week prior to admission. His condition was complicated with neck and right lower leg soft tissue infection, as well as multiple organ failure. The patient survived after intravenous ceftazidime, oral doxycycline, and surgical debridement. To our knowledge, this is the 12th reported cases on medline, and the second bacteremic case in taiwan. After reviewing the literature, we suggest that all patients with immunosuppressed conditions or adrenal insufficiency should eat foods that are well cooked and avoid raw seafood. Moreover, when patients who are at risk to develop fever, diarrhea, and soft tissue infection after ingestion of seafood, V. parahemolyticus infection should be suspected. All culture specimens should be inoculated on Vibrios selective media.- - - - - - - - - - ranking = 0.5keywords = water (Clic here for more details about this article) |
7/46. Fulminant necrotising fasciitis caused by vibrio parahaemolyticus.We report a patient with septicaemia and fulminant necrotising fasciitis caused by vibrio parahaemolyticus. This organism is strongly associated with seawater exposure and seafood ingestion. The patient recovered due to expedient management, prompt recognition of the organism, appropriate antimicrobial cover and surgical debridement. The lesson to be learned is that this organism should be clinically suspected and recognised from its typical history of injury and fulminant clinical progress as a delay in diagnosis and treatment may result in an increased risk of mortality.- - - - - - - - - - ranking = 0.5keywords = water (Clic here for more details about this article) |
8/46. Aeromonas wound infection in burns.Infection of burn patients with the Aeromonas organism is an uncommon event. This paper documents four cases of aeromonas hydrophila and one case involving both A. hydrophila and A. caviae occurring in burn patients between 1990 and 1998 at the Royal Brisbane Hospital burns unit. The organism was isolated from either skin swabs, tissue samples, blood cultures or cultured lines. In all patients there was a history of immersion in water immediately post burn. There is one case of invasion and destruction of deeper tissues and one fatality. Appropriate management requires a high index of suspicion if a history of immersion in untreated water post burn is given and the treatment involves aggressive excision and antibiotic therapy.- - - - - - - - - - ranking = 1keywords = water (Clic here for more details about this article) |
9/46. A case of fatal food-borne septicemia: can family physicians provide prevention?BACKGROUND: vibrio vulnificus, a common bacteria found in undercooked seafood and seawater, is the leading cause of food-borne death in florida. Fatal cases of V vulnificus infection have also been reported in most states. methods: The literature was searched using the key words "vibrio vulnificus," "septicemia," "wound infections," "seafood," "immunocompromise," and "patient education." A case of fatal V vulnificus septicemia is described. RESULTS AND CONCLUSIONS: V vulnificus, part of the natural flora of temperate coastal waters and one of the most abundant microorganisms found in seawater, has been isolated from waters off the Gulf, Pacific, and Atlantic coasts of the united states. Infections in noncoastal regions have been traced to consumption of seafood derived from Gulf Coast waters. seawater exposure and consumption of inadequately cooked seafood are routes most commonly associated with V vulnificus infection. Exposure to V vulnificus is life-threatening for chronically ill or immunocompromised patients, who are most likely to develop fatal septicemia. Currently a combination of doxycycline and intravenous ceftazidime is recommended treatment. mortality rates from V vulnificus continue to be high in immunocompromised patients. family physicians can help prevent this outcome by counseling high-risk patients.- - - - - - - - - - ranking = 3keywords = water (Clic here for more details about this article) |
10/46. ochrobactrum anthropi bacteremia in a patient on hemodialysis.Although newer tunneled dialysis catheters offer improved capacity for blood flow and efficiency of dialysis, catheter-associated bacteremia remains an extremely important complication of this access strategy. This is a report of a case of catheter-associated bacteremia with ochrobactrum anthropi, a water-borne gram-negative rod with an unusual pattern of antibiotic resistance. Given the organism's hydrophilic property and the frequency of catheter use in debilitated individuals with end-stage renal disease, ochrobactrum anthropi infection should be considered in the differential diagnosis of a hemodialysis patient with unexplained fever.- - - - - - - - - - ranking = 0.5keywords = water (Clic here for more details about this article) |
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