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November 1983

Posttraumatic Aeromonas hydrophila Osteomyelitis

Author Affiliations

From the Divisions of Infectious Diseases, the Departments of Medicine, The University of Alabama in Birmingham (Drs Karam and Dismukes) and the University of Medicine and Dentistry of New Jersey—Rutgers Medical School, New Brunswick (Dr Ackley). Dr Karam is now with the Department of Medicine, Louisiana State University School of Medicine, New Orleans.

Arch Intern Med. 1983;143(11):2073-2074. doi:10.1001/archinte.1983.00350110051014

Aeromonas hydrophila is a gram-negative organism that is the causative agent in several clinical infections. Although it has been reported to cause osteomyelitis in immunocompromised patients, it has not been reported to cause this in the normal host. We describe two patients in whom acute osteomyelitis developed following trauma in freshwater lakes. Cultures yielded A hydrophila, and both patients responded to a two-week course of parenteral antibiotics followed by oral tetracycline hydrochloride in the outpatient setting. Since A hydrophila is a common inhabitant of freshwater lakes, it should be suspected in infections occurring in this epidemiologic setting.

(Arch Intern Med 1983;143:2073-2074)

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