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[Aeromonas caviae infection mimicking inflammatory bowel disease in a child]

E J van der Gaag1, E Roelofsen, R F H M Tummers

  • 1Universitair Medisch Centrum Groningen, locatie Beatrix Kinderkliniek, Postbus 30.001, 9700 RB Groningen. e.j.van.der.gaag@bkk.umcg.nl

Nederlands Tijdschrift Voor Geneeskunde
|April 12, 2005
PubMed

Insights

Aeromonas caviae can cause severe pancolitis in children, presenting as bloody diarrhea. This rare case resolved spontaneously, with no signs of inflammatory bowel disease after 24 months.

Area of Science:

  • Microbiology
  • Pediatrics
  • Gastroenterology

Background:

  • Inflammatory bowel disease (IBD) has a significant genetic component and can manifest in childhood.
  • Infectious gastroenteritis is common in children, but severe presentations like pancolitis are less frequent.

Observation:

  • A 10-year-old girl presented with severe pancolitis and bloody diarrhea.
  • Stool cultures revealed a monoculture of Aeromonas caviae.
  • The patient had a family history suggestive of IBD.

Findings:

  • The patient's condition resolved spontaneously without specific treatment.
  • No signs of IBD were observed during a 24-month follow-up.
  • This case represents a severe manifestation of Aeromonas caviae infection, distinct from typical mild diarrhea and rare among 188 Aeromonas-positive cases in a 5-year hospital database.

Implications:

  • Aeromonas caviae should be considered in the differential diagnosis of pediatric pancolitis, even with a family history of IBD.
  • Spontaneous resolution is possible, suggesting host factors may influence disease severity.
  • Further research is needed to understand the pathogenesis of severe Aeromonas infections in children.

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