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Aeromonas hydrophila upper extremity infection
J R Sanger1, N J Yousif, H S Matloub
1Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee.
The Journal of Hand Surgery
|July 1, 1989
Summary
Aeromonas hydrophila caused a severe soft tissue infection after a water skiing injury. Prompt surgical debridement and antibiotics led to rapid recovery.
Area of Science:
- Infectious Diseases
- Wound Infections
- Microbiology
Background:
- Aeromonas hydrophila is an opportunistic pathogen found in aquatic environments.
- Water-related injuries pose a risk for soft tissue infections.
- Degloving injuries and deep contusions create a favorable environment for bacterial proliferation.
Observation:
- A case of severe upper extremity soft tissue infection following a water skiing injury is presented.
- The infection, caused by Aeromonas hydrophila, developed rapidly within 36 hours of the injury.
- Clinical signs included fever, leukocytosis, and a foul odor, indicating a serious bacterial infection.
Findings:
- Radical debridement of nonviable tissue was crucial for controlling the infection.
- Antibiotic therapy, specifically with an aminoglycoside or third-generation cephalosporin, led to rapid clinical improvement.
- Early suspicion of Aeromonas hydrophila in water-contaminated injuries with febrile response is critical.
Implications:
- This case highlights the importance of considering Aeromonas hydrophila in rapidly progressing soft tissue infections after aquatic activities.
- Timely surgical intervention and appropriate antibiotic selection are key to successful patient outcomes.
- Healthcare providers should maintain a high index of suspicion for this pathogen in similar clinical scenarios.