Aeromonas hydrophila bacteremia in ambulatory immunocompromised hosts

We observed seven episodes of Aeromonas hydrophila septicemia in five patients. All but one patient had an underlying disease resulting in immunosuppression. All episodes occurred in ambulatory patients whose vocation or avocation had recently caused them to contact water or fish. We hypothesize that infection with this gram-negative bacterium is acquired more frequently from the natural habitat of the organism than from nosocomial sources.