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Fulminant pneumonia and sepsis due to Aeromonas hydrophila in an alcohol abuser.

A 69-year-old alcoholic man with pneumonia and sepsis due to Aeromonas hydrophila is presented. He died of suffocation by a copious amount of hemoptysis six hours after his first symptoms of abdominal pain, diarrhea and dyspnea. Aeromonas hydrophila was isolated from blood and bronchial secretion. A fulminant form of pneumonia could develop in patients with predisposing underlying conditions such as alcoholism with chronic hepatitis and diabetes mellitus. Aeromonas hydrophila pneumonia may be characterized by hemoptysis and rapid clinical deterioration with a high mortality rate.

Aeromonas hydrophila↗

Aeromonas spp. and traveler's diarrhea: clinical features and antimicrobial resistance.

Traveler's diarrhea is the most common health problem of international travelers. We determined the prevalence of Aeromonas spp. associated with traveler's diarrhea and analyzed the geographic distribution, clinical features, and antimicrobial susceptibility. Aeromonas spp. were isolated as a cause of traveler's diarrhea in 18 (2%) of 863 patients. A. veronii biotype sobria was isolated in nine patients, A. caviae in seven patients, and A. jandaei and A. hydrophila in one patient each. Aeromonas spp. were isolated with a similar prevalence in Africa, Latin America, and Asia. Watery and persistent diarrhea, fever, and abdominal cramps were common complaints. All strains were resistant to ampicillin; showed variable resistance to chloramphenicol, tetracycline, and cotrimoxazole; and were susceptible to cefotaxime, ciprofloxacin, and nalidixic acid. The persistence of symptoms made antimicrobial treatment necessary.

Aeromonas↗

A comparative study of enterotoxigenic Escherichia coli, Shigella, Aeromonas, and Vibrio as etiologies of diarrhea in northeastern Thailand.

The incidence of enterotoxigenic Escherichia coli (ETEC), Shigella, Aeromonas, and Vibrio was determined in patients with diarrhea seen at a hospital in northeastern Thailand, and compared with the incidence of these bacteria in household contacts and their neighbors. ETEC was identified in 17%, Shigella in 9%, Aeromonas in 9%, V. parahaemolyticus in 5%, and non-01 V. cholerae in 2% of 299 patients with diarrhea. These five species of bacteria were isolated more often from patients with diarrhea than persons without diarrhea (P less than 0.001). ETEC was found more often in household contacts (22/141) and neighbors (18/147) of index cases than in persons living in homes not associated with ETEC infections (32/1,318; P less than 0.001). While Shigella was isolated less often in family contacts (3/76) and neighbors (4/93) of patients with shigellosis, this enteric pathogen was also isolated more often from contacts than persons not associated with Shigella infection (13/1,437; P less than 0.001). Both Aeromonas and non-01 V. cholerae can also be enteric pathogens; further efforts should be made to define the enteropathogenicity of these bacteria.

Adolescent↗

Adhesion of Aeromonas hydrophila to water distribution system pipes after different contact times.

Scanning electron microscopy observation was used to investigate the ability of Aeromonas hydrophila to attach to various water distribution pipe surfaces, such as stainless steel, copper, and polybutylene, after different contact times at ambient and storage temperatures. Surface energy value of each surface was estimated by contact angle measurements using water, alpha-bromonaphthalene, and dimethyl sulfoxide. Our results indicated that Aeromonas cells could easily attach to all surface types after exposures as short as 1 or 4 h at both temperatures (4 and 20 degrees C). Polybutylene, a low-energy surface (41.2 mJ.m-2), followed by stainless steel (65.7 mJ.m-2), was most colonized by Aeromonas cells, whereas few cells were observed on copper, which has a surface energy of 45.8 mJ.m-2. Extracellular materials could also be observed on polybutylene surfaces, especially after 1 and 4 h of exposure at the refrigeration temperature.

Aeromonas hydrophila↗

[Rapidly progressive myonecrosis by Aeromonas veronii biotype sobria].

Myonecrosis due to Aeromonas spp is exceptional. We report the case of a diabetic patient with liver cirrhosis who developed a rapidly progressive myonecrosis by Aeromonas veronii biotype sobria. The portal of entry was an injury after falling down in an irrigation canal. The outcome was not favourable and surgical amputation of left leg was performed in spite of antibiotic treatment with cefotaxime and tobramicin. Aeromonas spp can be very aggressive and this microorganism should be considered in the differential diagnosis of skin and soft tissue infections with myonecrosis, specially after posttraumatic wound infections with a history of freshwater exposure.

Aeromonas↗

Motile Aeromonas as agent of infections of the foot.

Motile Aeromonas infections of the foot are caused mostly by post-traumatic incidence, occurring mostly during summer months. Serious complications such as osteomyelitis and amputation can result if the infections go untreated or are inadequately treated. The role of each species of motile Aeromonas in pathogenesis and response to antimicrobial agents is not well understood because of taxonomic uncertainty. As a group, motile Aeromonas respond well to aminoglycosides, second-generation and third-generation cephalosporins, quinolones, and some beta-lactam antibiotics.

Aeromonas↗

[Swarming phenomenon of an aeromonas spec (author's transl)].

A genuine swarming phenomenon, such as has previously been known to occur in Proteus, Bacillus and Clostridium species only, was observed in an Aeromonas species. Fig. 1 shows the terraced swarming zones of the Aeromonas species on nutrient agar. The swarming rate, expressed as the growth of the swarming zone per time unit, was measured to be 70-120 mum/min on blood agar at 30 degrees C. The swarming could be inhibited by incubation at 37 degrees C (Table 2), by low saline concentrations (Table 3) as well as by addition of 4-nitro-phenylglycerol to the medium (Table 4). A DIENES-phenomenon between the swarming zones of Proteus strains and that of the Aeromonas species could not be observed (Fig. 2). The manner of swarming as seen in phase contrast microscopy was the same kind as that of Proteus. Furthermore, it could be shown by means of light- and electronmicroscopical investigations that the swarming phenomenon is connected with changes in the cell morphology and the form of flagellation (Figs. 4 and 5). Whereas in broth cultures (Fig. 3) as well as in the centre of colonies on solid media (Fig. 5a) the cells appeared as cocoid rods with polar flagellation, they developed elongated forms at the edge of the swarming zone, which - either in addition to or devoid of the polar flagella - were peritrichously populated with thin, flagella-like filaments (Figs. tb, 6, 7 and 8). The discussion deals with the various forms of bacterial surface translocation and investigates into the role of peritrichous flagella or fimbriae in the swarming phenomenon.

Aeromonas↗

Incidence and characterisation of Aeromonas spp. in environmental and human samples in southern Italy.

The incidence and characterisation of Aeromonas species in human and environmental samples in southern Italy were investigated. The results emphasize that 12.3% of the 210 examined patients carried Aeromonas spp. in their faeces. These results underline the need to include Aeromonas spp. in the list of routinely analysed enteropathogens in all diarrhoeal stool samples, especially in children below 10 years of age, elderly persons and immunocompromised patients.

Aeromonas↗

Production of chitinase by enterotoxigenic Aeromonas species isolated from clinical and environmental sources.

Thirty-six isolates of Aeromonas, 13 from children and 23 from the environment were tested for production of chitinase in culture supernatants. Thirty-four isolates of the three species (91% clinical and 96% environmental) produced constitutive chitinase. The environmental isolates elaborated significantly more (p < 0.005) of the enzyme than those from the children. Four of the environmental isolates also produced inducible chitinase. All isolates of Aeromonas were enterotoxic, however, the isolates producing inducible chitinase showed significantly higher enterotoxic activity. This study indicates that there is correlation between production of enterotoxin and chitinase in Aeromonas species.

Aeromonas↗

Biochemical characteristics and enterotoxicity of Aeromonas species isolated from man and environment.

A total of 147 isolates of Aeromonas spp., of which 54 were isolated from children and adults with diarrhoea, 44 from variety of water sources and 49 from environmental sources, were tested for enterotoxin production and its correlation with biochemical characters. Lysine was decarboxylated by 38% of A. hydrophila, 35% of A. sobria and 20% of A. caviae. Majority strains were unable to utilise citrate as the sole source of carbon except one of A. hydrophila, 8 of A. sobria and 6 of A. caviae. Beta-haemolysis was shown by 108 isolates that included 79% of A. hydrophila, 76% of A. sobria and 70% A. caviae. About 56% of Aeromonas strains including A. caviae caused fluid accumulation in the rabbit ileal loop in the initial tests and the remaining did so after 1-3 consecutive passages. Enterotoxin production did not correlate with the positive biochemical characters such as Voges-Prauskauer reaction, lysin decarboxylation, haemolysin production, citrate utilisation and failure to ferment arabinose either singly or in combination. This study indicates that enterotoxicity of Aeromonas may not be correlated with any of the biochemical characters either singly or in combination.

Adult↗

[Clinical and diagnostic characteristics of Aeromonas strains].

We studied the taxonomic, clinic, microbiological diagnostic and therapeutic characteristics of Aeromonas strains. Eleven geno-species have been isolated in human. They can be enterotoxigenic or enteroinvasive. These bacteria can be easily confused with other Gram negative bacilli (the Aeromonas are oxidase positive). They produce diarrhea but can only colonizer. In others localizations they are always diagnostic. Their detection in stools can be realized with the blood agar plus ampicillin or cefsulodin-novobiocin-irgasan agar. The treatment of extraintestinal infection is similar to the Gram negative infections. The Aeromonas are resistant to erythromycin, streptomycin and first generation cephalosporin. The beta-lactamic antimicrobials aren't the election treatment because the are positive beta lactamase. The diarrhea in children and immunocompromised or chronic patients will be treated with cotrimoxazole or fluorquinole.

Aeromonas↗

Childhood gastroenteritis due to Aeromonas hydrophila in Ibadan, Nigeria.

This is a prospective study spanning a period of six months where stools of 400 diarrhoeic children and 100 non-diarrhoeic children aged 0-5 years were screened for Aeromonas hydrophila and other enteric pathogens. Out of the 400 diarrhoeic stools only three (0.75%) were positive for Aeromonas hydrophila while none was positive in the control group. No other enteric pathogen was isolated from these positive samples, indicating that Aeromonas hydrophila is responsible for their diarrhoea. Continuous surveillance of this agent of diarrhoea in this environment will further reveal any threat the organism may poise in the nearest future.

Aeromonas hydrophila↗

[Spontaneous bacterial peritonitis and bacteraemia due to Aeromonas hydrophila].

Bacterial peritonitis is a frequent complication in cirrhotic patients. Amongst the aetiological germs, Aeromonas is very infrequent. We present the clinical case of a cirrhotic patient with peritonitis and bacteraemia due to Aeromonas hydrophila. This micro-organism is a Gram-negative bacillus of the Vibrionaceae family. It very frequently produces gastroenteritis in the human being. Exceptionally it can give rise to extraintestinal infections, especially in immunodepressed patients. Peritonitis due to Aeromonas has been described in association with spontaneous bacterial peritonitis in cirrhotic patients, in patients on peritoneal dialysis and in cases of peritonitis secondary to intestinal perforation.

Aeromonas hydrophila↗

Resistance to beta-lactam antibiotics in Aeromonas hydrophila isolated from rainbow trout (Oncorhynchus mykiss).

Bacterial infections caused by members of the genus Aeromonas, with a relatively high antibiotic resistance, are among the most common and troublesome diseases of fish raised in ponds with recirculation systems. In this study, carried out at an experimental aquaculture station in northern Portugal, 51 strains identified as belonging to the genus Aeromonas were isolated from 20 rainbow trout (Oncorhynchus mykiss) skin and kidney samples, as well as from raceway water samples. Macro- and microscopic examination of the fish tissues revealed lesions or cellular alterations in skin and kidney that seemed to correlate with the presence of those isolates. The sensitivity of all isolated strains to different groups of beta-lactam antibiotics (penicillins, cephalosporins, monobactams and carbapenems) was evaluated using the disc diffusion method. The highest rates of resistance were to amoxicillin, carbenicillin and ticarcillin. Unexpected resistance to imipenem, an antibiotic of clinical usage, was also detected, which suggests that resistance may have been transferred to the Aeromonas population from the environment.

Aeromonas hydrophila↗

[Fermentative production of poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) (PHBHHx) by recombinant Aeromonas hydrophila 4AK4 (pTG01)].

Copolyesters consisting of 3-hydroxybutyrate (3HB) and 3-hydroxyhexanoate (3HHx) (PHBHHx), a new type of biodegradable material, are receiving considerable attentions recently. The material properties are strongly related to the 3HHx fraction of PHBHHx. As the 3HHx fraction increase, crystallinity and melting point of PHBHHx decrease, flexibility and tractility increase. PHBHHx of different 3HHx fraction can meet different demands of commercial application and research. Aeromonas are the best studied PHBHHx-producing strains. Recent studies have been focused on optimizations of fermentative culture media and culture conditions for low-cost and efficient fermentative production. Aliphatic substrates such as long-chain fatty acid and soybean oil were used in the PHBHHx fermentation as the sole carbon source and energy source. Two-stage fermentation method was also developed for more efficient PHBHHx production. While studies on Aeromonas hydrophila revealed that the monomer composition of PHBHHx could not easily be regulated by fermentative process engineering methods such as changing substrates and fermentative conditions because precursors involved in the PHBHHx synthesis were all from the beta-oxidation pathway. In this study, phbA gene encoding beta-ketothiolase and phbB gene encoding acetoacetyl-CoA reductase were introduced into a PHBHHx-producing strain Aeromonas hydrophila 4AK4 so as to provide a new 3HB precursors synthesis way. phbA gene encodes beta-ketothiolase which can catalyze two acetyl-CoA to form acetoacetyl-CoA; phbB gene encodes acetoacetyl-CoA reductase catalyzing acetoacetly-CoA into 3HB-CoA which is the precursor of 3HB. The introduced novel 3-hydroxybutyrate precursor synthesis pathway allowed the recombinant strain to use unrelated carbon source such as gluconate to provide 3HB precursors for PHBHHx synthesis. Shake-flask experiments were carried out to produce PHBHHx of controllable monomer composition and fermentations in 5 L fermentor were also proceeded for confirmation of these result in large-scale culture. In flask culture, it was possible to reduce the 3HHx mol fraction in PHBHHx from 15 % in the wild type to 3% - 12% in the recombinant by simply changing the ratio of gluconate to lauric acid in the culture media. When lauric acid was used as the sole carbon source, 51.5 g/L Cell Dry Weight (CDW) containing 62 % PHBHHx with 9.7 % 3HHx mol fraction was obtained in 56 hours of fermentation in a 5 liter fermentor. When co-substrates of sodium gluconate and lauric acid (1:1) were used as carbon sources, 32.8 g/L CDW containing 52 % PHBHHx with 6.7% 3HHx mol fraction was obtained in 48 hours of fermentation. These results showed the possibility for fermentative production of PHBHHx with controllable monomer composition.

3-Hydroxybutyric Acid↗

[Aeromonas spp. as the causative agent of acute diarrhoea in children under 1 year of age].

STUDY OBJECTIVE: To establish whether there is a link between cases of acute watery diarrhoea and a specific Aeromonas species. MATERIALS AND METHODS: Eight strains studied were identified as aeromonads and were further characterized by biochemical tests, fatty acid analysis and ribotyping. RESULTS: Aeromonads were isolated repeatedly from stool specimens of four children under one year of age with acute diarrhoea, two of whom were admitted to hospital. Of eight isolated aeromonads strains six were identified as A. caviae, one was classified into A. veronii bv. sobria and one could not be identified to the species level. Only two A. caviae strains from one patient were found to be identical by ribotyping while the Aeromonas species (strains) isolated from the other cases differed from one another. Contaminated fresh water, contaminated food and contact with travellers with imported diarrhoea were identified as probable sources of infection. CONCLUSION: Four cases of acute gastroenteritis in small children document that aeromonads are not rare and can cause serious health problems. However, epidemiological links remain unclear. We did not prove correlation between the four serious cases of acute diarrhoea and specific Aeromonas species but the results suggest the predominant role of A. caviae.

Acute Disease↗

Binding of laminin and fibronectin by the trypsin-resistant major structural domain of the crystalline virulence surface array protein of Aeromonas salmonicida.

The surface of Aeromonas salmonicida is covered by a tetragonal paracrystalline array (A-layer) composed of a single protein (A-protein, Mr = 50,778). This array is a virulence factor. Cells containing A-layer and isolated A-layer sheets specifically bound laminin and fibronectin with high affinity. Binding by cells was inactivated by selective removal of A-layer at pH 2.2, and neither isogenic A-layer-deficient A. salmonicida mutants nor tetragonal paracrystalline array producing Aeromonas hydrophila and Aeromonas sobria strains bound either matrix protein. Laminin binding was by a single class of high affinity interactions (cell Kd = 1.52 nM), whereas fibronectin bound via two classes of interactions, one being similar to that of laminin (cell Class 2 interaction Kd = 6.6 nM). This interaction with both proteins was partly hydrophobic. The Class 1 fibronectin interaction was of lower affinity (cell Kd = 218 nM) and distinct. Purified A-protein inhibited binding of both matrix proteins to A-layer, and trypsin cleavage localized the matrix-protein binding region to the N-terminal major trypsin-resistant structural domain of A-protein. Monoclonal antibody inhibition studies showed that A-protein was folded such that Fabs of only one of two antibodies with epitopes mapping C-terminal to this trypsin-resistant peptide was capable of blocking binding.

Aeromonas↗

[Isolation of Yersinia, campylobacter, Plesiomonas and Aeromonas from environmental water and fresh water fishes].

Yersinia, Campylobacter, Plesiomonas and Aeromonas are known causative agents in waterborne diseases. For about 10 years, outbreak of diarrhea has been observed, especially among children, in the mountain areas of Okayama. Y. pseudotuberculosis recently isolated from non-chlorinated drinking water sources such as mountain streams and wells has been suspected to be the causative bacteria of the disease. Attempts were made to isolate Yersinia and Campylobacter from water samples from rivers in rural areas and Plesiomonas and Aeromonas from samples of well water and fresh water fishes in Okayama prefecture from 1987 to 1990. The isolation rate of Yersinia from river water samples was 7.5% with a higher rate in the mountain areas than in the nonmountain areas. While Y. enterocolitica was isolated throughout the year, Y. pseudotuberculosis was only seen during the winter. Various serogroups including human types of Y. enterocolitica and serogroup 2B, 4A and UT of Y. pseudotuberculosis were detected. Campylobacter was isolated from 0.5% of river water samples. Plesiomonas from 1.5% of fresh water fishes, and Aeromonas was isolated from 6.9% of well water samples and 47.1% of fresh water fishes.

Aeromonas↗