Aeromonas infection
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Obesity, Sleep & Internal medicine
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| Aeromonas infection | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Diarrhea, wound infection, sepsis |
| Complications | Necrotizing fasciitis, hemolytic uremic syndrome |
| Onset | |
| Duration | |
| Types | N/A |
| Causes | Aeromonas species |
| Risks | Immunocompromised individuals, freshwater exposure |
| Diagnosis | Stool culture, wound culture |
| Differential diagnosis | Vibrio infection, Pseudomonas infection |
| Prevention | Proper hygiene, avoiding contaminated water |
| Treatment | Antibiotics such as ciprofloxacin, trimethoprim/sulfamethoxazole |
| Medication | |
| Prognosis | Generally good with treatment |
| Frequency | |
| Deaths | Rare |
Aeromonas infection refers to a range of infections caused by bacteria of the genus Aeromonas. These bacteria are commonly found in aquatic environments and can cause various diseases in humans and animals.
Overview
Aeromonas species are Gram-negative, rod-shaped bacteria that are ubiquitous in freshwater and marine environments. They are known to cause infections in both immunocompetent and immunocompromised individuals. The most common species associated with human disease is Aeromonas hydrophila.
Pathogenesis
Aeromonas infections can occur through exposure to contaminated water or food, or through open wounds that come into contact with contaminated water. The bacteria produce a variety of virulence factors, including enterotoxins, hemolysins, and proteases, which contribute to their pathogenicity.
Clinical Manifestations
Gastrointestinal Infections
Aeromonas can cause gastroenteritis, presenting with symptoms such as diarrhea, abdominal pain, nausea, and vomiting. The infection is often self-limiting but can be severe in some cases.
Wound Infections
Wound infections can occur when open wounds are exposed to contaminated water. These infections can lead to cellulitis, abscess formation, and in severe cases, necrotizing fasciitis.
Systemic Infections
In immunocompromised individuals, Aeromonas can cause systemic infections such as bacteremia and sepsis. These conditions require prompt medical attention and treatment.
Diagnosis
Diagnosis of Aeromonas infection is typically made through culture of the bacteria from clinical specimens such as stool, wound swabs, or blood. Molecular methods such as PCR can also be used for identification.
Treatment
Treatment of Aeromonas infections depends on the severity and type of infection. Mild gastrointestinal infections may not require treatment, while more severe infections may be treated with antibiotics such as fluoroquinolones or trimethoprim-sulfamethoxazole. Wound infections may require surgical intervention in addition to antibiotic therapy.
Prevention
Preventive measures include avoiding exposure to contaminated water, especially for individuals with open wounds or compromised immune systems. Proper food handling and cooking can also reduce the risk of infection.
See also
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Contributors: Prab R. Tumpati, MD