Endocarditis with Aeromonas salmonicida

Publication date: Available online 17 August 2019Source: IDCasesAuthor(s): Mohamadreza Salehi, Sahar Shadvar, Mohammad Sadeghian, Mahsa Doomanlou, Alireza Abdollahi, Seyed Ali Dehghan Manshadi, Akram Sardari, Hossein Ali Rahdar, Mohammad Mehdi FeizabadiAbstractAeromonas salmonicida (A. salmonicida) is a facultative Gram-negative bacillus, inhabiting in water. It is a common source of furunculosis and septicemia in fish. Report on the human infection with this organism is rare. A male farmer referred with weakness and intermittent fever. He had cardiac valves’ regurgitation due to fever with rheumatic heart disease. He had a history of swimming in well water. Transthoracic echocardiography (TTE) revealed a mobile mass of 1.3 × 0.9 cm attached to the mitral valve chordae, suggestive of a vegetation. Aeromonas salmonicida was isolated from the blood. After cardiac surgery and taking ceftriaxone for 4 weeks, he was discharged in good general condition. Five previous case reports of human infection with this organism were found. The patient was the sixth human case, and the first endocarditis, reported with this organism. A. salmonicida is a rare agent for human infection. Contact with water is a risk factor for this type of infection. It seems that the use of modern diagnostic methods has been effective in identifying the microorganism.
Source: IDCases - Category: Infectious Diseases Source Type: research