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July 1990

Infection Associated With Seafood Consumption

Author Affiliations

Brussels, Belgium

Arch Intern Med. 1990;150(7):1546. doi:10.1001/archinte.1990.00390190176034

To the Editor.—A recent case of one of our patients who presented with a septicemia caused by Plesiomonas shigelloïdes 15 days after the consumption of raw mussels prompted us to add P shigelloïdes to the list of the bacterial infections associated with fish and shellfish consumption, published in the August 1989 issue of the Archives.1

Indeed, P shigelloïdes has been recognized as the cause of isolated cases and outbreaks of gastroenteritis, often severe, after ingestion of seafood.2-6 Cases of extraintestinal illness have also been caused by P shigelloïdes: meningitis and septicemia in neonates, sometimes associated with the presence of P shigelloïdes in the feces of the mother, 7,8 probably secondary to seafood consumption, 8 and septicemia in adults, also sometimes preceded by seafood consumption.9 These extraintestinal infections are rarely reported, but are severe and often fatal.2

Consequently, it seems to us that P shigelloïdes, a

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