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Colegio de Medicina Interna de México.

2018, Number 1

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Med Int Mex 2018; 34 (1)

Methastatic fulminant myonecrosis due to Aeromonas caviae

Rivera-Zetina DJ, Estrada-Hernández MR, Estrada-Hernández LO

Language: Spanish
References: 26
Page: 142-151
PDF size: 651.50 Kb.


ABSTRACT

The Aeromonas species of the Aeromonadaceae family are gram-negative bacilli, facultative anaerobes, cytochrome oxidase, catalase and indole-positive bacilli. They are found naturally in the environment, but they are mainly found in fresh and salt water, and they have been isolated from vegetables, meat, seafood and processed foods. Skin and soft tissue infections caused by Aeromonas spp are rare. Soft tissue infections secondary to local trauma in contact with soil or water have been reported in the world, in surgical intervention or in hematogenous dissemination in immunosuppressed patients from intestinal bacterial translocation. Of the cases reported in humans, gastroenteritis is the most frequent; however, life-threatening extraintestinal infections such as septicemia, necrotizing fasciitis, and myonecrosis have been reported. This paper reports a case of fulminating myonecrosis caused by Aeromonas caviae, which evolved unfavorably, unfortunately with a fatal outcome.


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