Fulminant fatal pneumonia and bacteremia due to Aeromonas dhakensis in an immunocompetent man: a case report and literature review

is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We report a case of fulminant pneumonia and bacteremia due to in a patient without underlying diseases. A 26-year-old man became ill suddenly with pneumonia after...

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Published inFrontiers in cellular and infection microbiology Vol. 14; p. 1359422
Main Authors Jiang, Lei, Zhao, Qiquan, Li, Dairong, Gao, Jia, Zhang, Xiaobing, Shu, Qian, Han, Xiaoli
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 15.07.2024
Subjects
Adult
Aeromonas - genetics
Aeromonas - isolation & purification
Aeromonas - pathogenicity
Aeromonas dhakensis
bacteremia
Bacteremia - diagnosis
Bacteremia - microbiology
Bronchoalveolar Lavage Fluid - microbiology
Cellular and Infection Microbiology
Fatal Outcome
Gram-Negative Bacterial Infections - diagnosis
Gram-Negative Bacterial Infections - microbiology
High-Throughput Nucleotide Sequencing
housekeeping gene sequencing
Humans
Lung - microbiology
Lung - pathology
Male
metagenomic next-generation sequencing
Metagenomics
pneumonia
Pneumonia, Bacterial - diagnosis
Pneumonia, Bacterial - microbiology
metagenomic next-generation sequencing
pneumonia
Aeromonas dhakensis
housekeeping gene sequencing
bacteremia
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Abstract is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We report a case of fulminant pneumonia and bacteremia due to in a patient without underlying diseases. A 26-year-old man became ill suddenly with pneumonia after swimming in a river. Despite intensive support measures in the intensive care unit, he died 13 hours after admission and 4 days after his first symptoms. Autopsy showed abundant Gram-negative bacteria, massive inflammatory cell infiltration, edema, necrosis and hemorrhage in lung tissue. was isolated from blood culture taken at admission and bronchoalveolar lavage fluid (BALF) after intubation. Moreover, was also detected in lung tissue by metagenomic next-generation sequencing (mNGS) assay. The infection may have come from river water. In patients who develop a fulminant pneumonia after contacting an aquatic environment, should be alerted and mNGS may aid in the detection of aquatic pathogens by being more sensitive and specific versus traditional bacterial culture.
AbstractList BackgroundAeromonas dhakensis is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We report a case of fulminant pneumonia and bacteremia due to A. dhakensis in a patient without underlying diseases.Case presentationA 26-year-old man became ill suddenly with pneumonia after swimming in a river. Despite intensive support measures in the intensive care unit, he died 13 hours after admission and 4 days after his first symptoms. Autopsy showed abundant Gram-negative bacteria, massive inflammatory cell infiltration, edema, necrosis and hemorrhage in lung tissue. A. dhakensis was isolated from blood culture taken at admission and bronchoalveolar lavage fluid (BALF) after intubation. Moreover, A. dhakensis was also detected in lung tissue by metagenomic next-generation sequencing (mNGS) assay. The infection may have come from river water.ConclusionIn patients who develop a fulminant pneumonia after contacting an aquatic environment, A. dhakensis should be alerted and mNGS may aid in the detection of aquatic pathogens by being more sensitive and specific versus traditional bacterial culture.
is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We report a case of fulminant pneumonia and bacteremia due to in a patient without underlying diseases. A 26-year-old man became ill suddenly with pneumonia after swimming in a river. Despite intensive support measures in the intensive care unit, he died 13 hours after admission and 4 days after his first symptoms. Autopsy showed abundant Gram-negative bacteria, massive inflammatory cell infiltration, edema, necrosis and hemorrhage in lung tissue. was isolated from blood culture taken at admission and bronchoalveolar lavage fluid (BALF) after intubation. Moreover, was also detected in lung tissue by metagenomic next-generation sequencing (mNGS) assay. The infection may have come from river water. In patients who develop a fulminant pneumonia after contacting an aquatic environment, should be alerted and mNGS may aid in the detection of aquatic pathogens by being more sensitive and specific versus traditional bacterial culture.
Background Aeromonas dhakensis is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We report a case of fulminant pneumonia and bacteremia due to A. dhakensis in a patient without underlying diseases. Case presentation A 26-year-old man became ill suddenly with pneumonia after swimming in a river. Despite intensive support measures in the intensive care unit, he died 13 hours after admission and 4 days after his first symptoms. Autopsy showed abundant Gram-negative bacteria, massive inflammatory cell infiltration, edema, necrosis and hemorrhage in lung tissue. A. dhakensis was isolated from blood culture taken at admission and bronchoalveolar lavage fluid (BALF) after intubation. Moreover, A. dhakensis was also detected in lung tissue by metagenomic next-generation sequencing (mNGS) assay. The infection may have come from river water. Conclusion In patients who develop a fulminant pneumonia after contacting an aquatic environment, A. dhakensis should be alerted and mNGS may aid in the detection of aquatic pathogens by being more sensitive and specific versus traditional bacterial culture.
Aeromonas dhakensis is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We report a case of fulminant pneumonia and bacteremia due to A. dhakensis in a patient without underlying diseases.BackgroundAeromonas dhakensis is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We report a case of fulminant pneumonia and bacteremia due to A. dhakensis in a patient without underlying diseases.A 26-year-old man became ill suddenly with pneumonia after swimming in a river. Despite intensive support measures in the intensive care unit, he died 13 hours after admission and 4 days after his first symptoms. Autopsy showed abundant Gram-negative bacteria, massive inflammatory cell infiltration, edema, necrosis and hemorrhage in lung tissue. A. dhakensis was isolated from blood culture taken at admission and bronchoalveolar lavage fluid (BALF) after intubation. Moreover, A. dhakensis was also detected in lung tissue by metagenomic next-generation sequencing (mNGS) assay. The infection may have come from river water.Case presentationA 26-year-old man became ill suddenly with pneumonia after swimming in a river. Despite intensive support measures in the intensive care unit, he died 13 hours after admission and 4 days after his first symptoms. Autopsy showed abundant Gram-negative bacteria, massive inflammatory cell infiltration, edema, necrosis and hemorrhage in lung tissue. A. dhakensis was isolated from blood culture taken at admission and bronchoalveolar lavage fluid (BALF) after intubation. Moreover, A. dhakensis was also detected in lung tissue by metagenomic next-generation sequencing (mNGS) assay. The infection may have come from river water.In patients who develop a fulminant pneumonia after contacting an aquatic environment, A. dhakensis should be alerted and mNGS may aid in the detection of aquatic pathogens by being more sensitive and specific versus traditional bacterial culture.ConclusionIn patients who develop a fulminant pneumonia after contacting an aquatic environment, A. dhakensis should be alerted and mNGS may aid in the detection of aquatic pathogens by being more sensitive and specific versus traditional bacterial culture.
Author Zhang, Xiaobing
Zhao, Qiquan
Shu, Qian
Li, Dairong
Jiang, Lei
Gao, Jia
Han, Xiaoli
AuthorAffiliation 4 Department of Clinical Laboratory, The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
2 Department of Pulmonary and Critical Care Medicine, The People’s Hospital of Dazu , Chongqing , China
5 Department of Pathology, The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
1 Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
3 Department of Radiology, The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
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– name: 2 Department of Pulmonary and Critical Care Medicine, The People’s Hospital of Dazu , Chongqing , China
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Keywords metagenomic next-generation sequencing
pneumonia
Aeromonas dhakensis
housekeeping gene sequencing
bacteremia
Language English
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Snippet is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We report a case of...
Background Aeromonas dhakensis is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is...
Aeromonas dhakensis is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is extremely rare. We...
BackgroundAeromonas dhakensis is associated with soft tissue infection, bacteremia and gastroenteritis. Involvement of respiratory system in adults is...
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StartPage 1359422
SubjectTerms Adult
Aeromonas - genetics
Aeromonas - isolation & purification
Aeromonas - pathogenicity
Aeromonas dhakensis
bacteremia
Bacteremia - diagnosis
Bacteremia - microbiology
Bronchoalveolar Lavage Fluid - microbiology
Cellular and Infection Microbiology
Fatal Outcome
Gram-Negative Bacterial Infections - diagnosis
Gram-Negative Bacterial Infections - microbiology
High-Throughput Nucleotide Sequencing
housekeeping gene sequencing
Humans
Lung - microbiology
Lung - pathology
Male
metagenomic next-generation sequencing
Metagenomics
pneumonia
Pneumonia, Bacterial - diagnosis
Pneumonia, Bacterial - microbiology
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Title Fulminant fatal pneumonia and bacteremia due to Aeromonas dhakensis in an immunocompetent man: a case report and literature review
URI https://www.ncbi.nlm.nih.gov/pubmed/39077434
https://www.proquest.com/docview/3086065533
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