1
|
Matsukawa H, Usuda D, Takami H, Nomura T, Sugita M. A Case of Edwardsiella tarda Infection With Iliopsoas Abscess Following Acute Pyelonephritis. Cureus 2024; 16:e58868. [PMID: 38800258 PMCID: PMC11116749 DOI: 10.7759/cureus.58868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2024] [Indexed: 05/29/2024] Open
Abstract
Edwardsiella tarda (E. tarda) is a gram-negative bacillus commonly isolated from aquatic environments and various aquatic animals. It rarely causes infections in humans, but rare human infections occur primarily through ingestion of infected seafood or aquatic animals. Symptoms include fever, gastroenteritis, and diarrhea, but severe extraintestinal infections have also been reported. This report describes a 76-year-old female developing E. tarda infection with iliopsoas abscess following acute pyelonephritis. Her chief complaint was fatigue and difficulty moving. Blood tests showed an increased inflammatory response, but the cause could not be identified from the patient's medical history, physical findings, and imaging findings. We diagnosed it as a urinary tract infection from the results of gram staining and started treatment, but the fever persisted thereafter, and a contrast-enhanced CT scan performed for re-evaluation revealed an iliopsoas abscess. After CT-guided abscess drainage, the patient made good progress and was transferred to a rehabilitation hospital on day 48 of the presentation. To the best of our knowledge, this is the first report of a case of E. tarda infection with iliopsoas abscess following acute pyelonephritis. Iliopsoas abscess is often difficult to diagnose. In this case report, we also present how we diagnosed and treated iliopsoas abscesses.
Collapse
Affiliation(s)
- Hiroyuki Matsukawa
- Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital, Tokyo, JPN
| | - Daisuke Usuda
- Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital, Tokyo, JPN
| | - Hiroki Takami
- Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital, Tokyo, JPN
| | - Tomohisa Nomura
- Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital, Tokyo, JPN
| | - Manabu Sugita
- Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital, Tokyo, JPN
| |
Collapse
|
2
|
Ding Y, Men W. A case report and review of acute cholangitis with septic shock induced by Edwardsiella tarda. Ann Clin Microbiol Antimicrob 2022; 21:33. [PMID: 35788242 PMCID: PMC9254564 DOI: 10.1186/s12941-022-00524-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 06/21/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Edwardsiella tarda (E. tarda) is a gram-negative facultative anaerobic bacterium. Gastroenteritis is the most common manifestation of E. tarda infection. However, parenteral infections can occur in immunodeficient hosts, as well as hepatobiliary diseases, malignancies, and/or diabetes. The prognosis of sepsis caused by E. tarda is very worse, with a mortality rate of 38%. We report the occurrence of acute cholecystitis with septic shock and E. tarda bloodstream infection. CASE PRESENTATION A 64-year-old male with acute cholecystitis secondary to hepatitis B virus infection showed fever and sudden upper abdominal pain. On arrival, right upper abdominal pain, nausea, vomiting, fever, and jaundice were observed. Computed tomography showed common bile duct stones and gallbladder stones. Choledocholithiasis with acute cholangitis was diagnosed and treated surgically. Due to septic shock, a blood culture was assessed showing E. tarda as the main pathogen. Choledocholithotomy, T-tube drainage, cholecystectomy, and intravenous antibiotic treatment after the operation. The patient recovered smoothly after the operation. CONCLUSIONS Although E. tarda infection is extremely rare, it can cause rapid episodes of rapidly progressive and life-threatening disease, as well as intestinal and parenteral infections. If necessary, early surgical treatment of parenteral infection should be considered and antibiotics should be used in time.
Collapse
Affiliation(s)
- Yue Ding
- Department of Clinical Laboratory, The Fourth Affiliated Hospital of Anhui Medical University, 372 Tunxi Road, Hefei, Anhui, 230000, People's Republic of China
| | - Wanqi Men
- Department of Clinical Laboratory, The Fourth Affiliated Hospital of Anhui Medical University, 372 Tunxi Road, Hefei, Anhui, 230000, People's Republic of China.
| |
Collapse
|
3
|
Pham K, Wu Y, Turett G, Prasad N, Yung L, Rodriguez GD, Segal-Maurer S, Urban C, Yoon J. Edwardsiella tarda, a rare human pathogen isolated from a perihepatic abscess: Implications of transient versus long term colonization of the gastrointestinal tract. IDCases 2021; 26:e01283. [PMID: 34527514 PMCID: PMC8433271 DOI: 10.1016/j.idcr.2021.e01283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 09/05/2021] [Accepted: 09/05/2021] [Indexed: 11/25/2022] Open
Abstract
Although gastroenteritis is the most commonly described manifestation of Edwardsiella tarda infection, the pathogenesis and transient or long-term colonization of the gastrointestinal tract of this organism in human disease is not clear. We describe a rare manifestation of E. tarda infection in a perihepatic abscess in the setting of a patient with perforated cholecystitis and its successful eradication following antibiotic treatment.
Collapse
Affiliation(s)
- K Pham
- Department of Medicine, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA
| | - Y Wu
- The Dr. James J. Rahal, Jr. Division of Infectious Diseases, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA
| | - G Turett
- Department of Medicine, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,The Dr. James J. Rahal, Jr. Division of Infectious Diseases, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA
| | - N Prasad
- Department of Medicine, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,The Dr. James J. Rahal, Jr. Division of Infectious Diseases, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA
| | - L Yung
- Department of Medicine, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,The Dr. James J. Rahal, Jr. Division of Infectious Diseases, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA
| | - G D Rodriguez
- Department of Medicine, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,The Dr. James J. Rahal, Jr. Division of Infectious Diseases, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,Columbia University School of Nursing, Columbia University, NY 10032, USA
| | - S Segal-Maurer
- Department of Medicine, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,The Dr. James J. Rahal, Jr. Division of Infectious Diseases, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,Weill Cornell Medicine, Cornell University, NY 10065, USA
| | - C Urban
- Department of Medicine, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,The Dr. James J. Rahal, Jr. Division of Infectious Diseases, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,Weill Cornell Medicine, Cornell University, NY 10065, USA
| | - J Yoon
- Department of Medicine, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA.,The Dr. James J. Rahal, Jr. Division of Infectious Diseases, NewYork-Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USA
| |
Collapse
|