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September 8, 1978

Aeromonas hydrophilia Septicemia in a Previously Healthy Man

Author Affiliations

Walter Reed Army Medical Center Georgetown University School of Medicine Washington, DC

JAMA. 1978;240(11):1139. doi:10.1001/jama.1978.03290110037007

To the Editor.—  Ramsay et al (239:128, 1978) recently reported a case of Aeromonas hydrophilia sepsis in a patient undergoing hemodialysis therapy. We report a case of A hydrophilia septicemia seen at Walter Reed Army Medical Center.

Report of a Case.—  A 79-year-old man with a history of heart disease, but otherwise in good health, was seen in the emergency room for two episodes of dull epigastric pain associated with nausea during a 24-hour period. The patient was admitted for possible myocardial infarction. Cardiac enzyme levels and ECGs showed no evidence of myocardial infarction, but on the second hospital day the patient had a temperature of 39 °C. Four blood cultures grew A hydrophilia. The strain was sensitive to gentamicin, amikacin, and tobramycin and resistant to ampicillin, cephalothin, and carbenicillin. Stool culture subsequently grew A hydrophilia. He received a ten-day course of gentamicin sulfate, with resolution of epigastric pain and