Indian Journal of Critical Care Case Report

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VOLUME 2 , ISSUE 1 ( January-February, 2023 ) > List of Articles


A Rare Cause of Community-acquired Sepsis: Aeromonas and Multiorgan Failure

Chandrashish Chakravarty, Ananya Mandal

Keywords : Aeromonas, Multiorgan dysfunction, Sepsis

Citation Information : Chakravarty C, Mandal A. A Rare Cause of Community-acquired Sepsis: Aeromonas and Multiorgan Failure. 2023; 2 (1):14-16.

DOI: 10.5005/jp-journals-11006-0037

License: CC BY-NC 4.0

Published Online: 07-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Aeromonas hydrophila is a motile, gram-negative bacillus and facultative anaerobe that is native to aquatic environments and is increasingly reported in humans. While Aeromonas-associated gastroenteritis is fairly common worldwide, Aeromonas bacteremia is much less prevalent and is commonly associated with immunosuppression or malignancy, a recent history of recreational or occupational contact with fresh water, or ingestion of contaminated seafood. Bacteremia in healthy individuals is uncommon and often associated with trauma. Excluding trauma, the vast majority of healthy individuals with Aeromonas sepsis are elderly individuals and/or individuals with exposure to freshwater environments. This case is remarkable for A. hydrophila sepsis with an initial presentation of acute gastroenteritis. We report a case of a 23-year-old lady, a healthcare worker, working at the intensive care unit of a tertiary care hospital for 1 year, presenting with abdominal pain for 3 days, aggravated by eating, associated with vomiting and watery, nonbloody diarrhea, and dysuria. The patient has no other comorbidities. The patient also presented with a fever, normal liver enzymes, and a normal white blood cell count. She had no evidence of immunosuppression or malignancy, no recent history of freshwater contact, no history of seafood ingestion, and no evidence of Aeromonas infection anywhere other than in her blood. This case study highlights an uncommon cause of septicemia in a young, healthy female.

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