Download PDF
CC BY-NC-ND 4.0 · J Lab Physicians 2017; 9(04): 337-339
DOI: 10.4103/JLP.JLP_45_17
Case Report

Chronic osteomyelitis by Aeromons hydrophilal: A silent cause of concern

Sonu Agrawal
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
,
Geetika Sharma
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
,
Deepankar Srigyan
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
,
Hira L. Nag
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
,
Arti Kapil
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
,
Benu Dhawan
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
› Further Information
Also available at
  PDF Download Permissions and Reprints

Abstract

Aeromonas is a Gram-negative bacillus, widely found in aquatic environment. Osteoarticular pathology caused by AeromonA. hydrophilal is rarely encountered. To the best of our knowledge, this is the first case of chronic osteomyelitis by A. hydrophilal reported from India. We report a case of chronic osteomyelitis of the lower limb due to A. hydrophilal, which occurred as a delayed complication following open reduction and internal fixation. Prompt medical and surgical intervention supplemented by a comprehensive microbiological workup aided in pathogen identification and specific antimicrobial administration resulting in the successful outcome of our patient. This case illustrates the utility of multidisciplinary management approach involving microbiologists and orthopedicians in investigating and appropriately managing such cases.

Key words

Aeromonas hydrophila - chronic osteomyelitis - delayed infection - occupational injury


Publication History

Received: 10 March 2017

Accepted: 04 May 2017

Article published online:
19 February 2020

© 2017.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Gunasekaran L, Ambalkar S, Samarji RA, Qamruddin A. Post-traumatic osteomyelitis due to Aeromonas species. Indian J Med Microbiol 2009;27:163-5.
  • 2 Janda JM, Abbott SL. The genus Aeromonas: Taxonomy, pathogenicity, and infection. Clin Microbiol Rev 2010;23:35-73.
  • 3 Sood S, Nerurkar V. Fatal necrotizing soft tissue infection by Aeromonas hydrophila. J Clin Diagn Res 2014;8:DD06-7.
  • 4 Behera B, Bhoriwal S, Mathur P, Sagar S, Singhal M, Misra MC. Post-traumatic skin and soft tissue infection due to Aeromonas hydrophila. Indian J Crit Care Med 2011;15:49-51.
  • 5 De A, Raj HJ, Maiti PK. Biofilm in osteomyelitis caused by a rare pathogen, Morganella morganii: A case report. J Clin Diagn Res 2016;10:DD06-8.
  • 6 Lee CH, Liu MS, Hsieh SH. Aeromonas hydrophila bacteremia presenting as non-traumatic acute osteomyelitis in a cirrhotic patient. Chang Gung Med J 2003;26:520-4.
  • 7 Doganis D, Baka M, Tsolia M, Pourtsidis A, Lebessi E, Varvoutsi M, et al. Multifocal Aeromonas osteomyelitis in a child with leukemia. Case Rep Infect Dis 2016;2016:8159048.