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Plesiomonas shigelloides pneumonia.
- Source :
-
Medecine et maladies infectieuses [Med Mal Infect] 2009 Jun; Vol. 39 (6), pp. 397-400. Date of Electronic Publication: 2009 Jan 23. - Publication Year :
- 2009
-
Abstract
- Plesiomonas shigelloides is known to cause mild to cholera-like diarrhea in most infected persons. In immunocompromised patients extra-intestinal manifestations have been described. We report the first case of pneumonia caused by P. shigelloides in a 76-year-old woman who had undergone a curative gastrectomy and esophageal-jejunostomy due to a low differentiated adenocarcinoma of the stomach (pT2, pN1 pMx, G3, R0, Lauren: intestinal type). The patient was admitted in hospital with clinical signs of pulmonary infection. CT-scan revealed a cavernous lesion in the right upper pulmonary lobe. Bronchial lavage showed a granulocytic inflammation 105CFU/ml P. shigelloides. Although antibiotic treatment led to a decrease of inflammation parameters and decrease of the pulmonary infiltrate the patient died due to development of torsades de pointes tachycardia leading to ventricular fibrillation and hypoxic brain damage.
- Subjects :
- Aged
Female
Gram-Negative Bacterial Infections diagnostic imaging
Gram-Negative Bacterial Infections drug therapy
Humans
Inflammation microbiology
Radiography
Tachycardia etiology
Torsades de Pointes etiology
Unconsciousness etiology
Ventricular Fibrillation etiology
Adenocarcinoma surgery
Gastrectomy adverse effects
Gram-Negative Bacterial Infections etiology
Jejunostomy adverse effects
Plesiomonas
Stomach Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0399-077X
- Volume :
- 39
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Medecine et maladies infectieuses
- Publication Type :
- Academic Journal
- Accession number :
- 19167851
- Full Text :
- https://doi.org/10.1016/j.medmal.2008.11.010