Septic shock due to Aeromonas hydrophila bacteremia in a patient with alcoholic liver cirrhosis: A case report

Tetsuya Yumoto, Shingo Ichiba, Nao Umei, Sunao Morisada, Kohei Tsukahara, Keiji Sato, Toyomu Ugawa, Yoshihito Ujike

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: Aeromonas hydrophila sometimes causes bacteremia, which can be fatal in compromised patients, such as those with liver cirrhosis. We present a case of septic shock due to Aeromonas hydrophila bacteremia in a patient with liver cirrhosis, which was successfully treated with rapid resuscitation and critical care. Case presentation: A 71-year-old Japanese man with liver cirrhosis was transported to our emergency center by ambulance after presenting with gait difficulties and fever. On arrival, he exhibited shock and severe lactic acidosis, which was suggestive of sepsis, and was immediately resuscitated and administered empiric antibiotic therapy. He also displayed catecholamine-resistant hypotension, which was successfully treated with critical care including supportive therapies, such as polymyxin B hemoperfusion and cytokine-absorbing hemofiltration. Aeromonas hydrophila was detected in his initial blood cultures. Conclusions: Aeromonas septicemia should be considered in patients with alcoholic liver cirrhosis who have profound shock. In addition to goal-directed therapy and the prompt administration of empiric antibiotic therapy, aggressive critical care involving multiple supportive therapies can save such patients.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalJournal of Medical Case Reports
DOIs
Publication statusAccepted/In press - Dec 3 2014

Fingerprint

Aeromonas hydrophila
Alcoholic Liver Cirrhosis
Septic Shock
Bacteremia
Critical Care
Liver Cirrhosis
Shock
Sepsis
Anti-Bacterial Agents
Therapeutics
Hemoperfusion
Aeromonas
Hemofiltration
Polymyxin B
Lactic Acidosis
Ambulances
Gait
Resuscitation
Hypotension
Catecholamines

Keywords

  • Aeromonas hydrophila
  • Liver cirrhosis
  • Septic shock

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Septic shock due to Aeromonas hydrophila bacteremia in a patient with alcoholic liver cirrhosis : A case report. / Yumoto, Tetsuya; Ichiba, Shingo; Umei, Nao; Morisada, Sunao; Tsukahara, Kohei; Sato, Keiji; Ugawa, Toyomu; Ujike, Yoshihito.

In: Journal of Medical Case Reports, 03.12.2014, p. 1-4.

Research output: Contribution to journalArticle

Yumoto, Tetsuya ; Ichiba, Shingo ; Umei, Nao ; Morisada, Sunao ; Tsukahara, Kohei ; Sato, Keiji ; Ugawa, Toyomu ; Ujike, Yoshihito. / Septic shock due to Aeromonas hydrophila bacteremia in a patient with alcoholic liver cirrhosis : A case report. In: Journal of Medical Case Reports. 2014 ; pp. 1-4.
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