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Case report
Photobacterium damselae subsp. damselae bacteraemia in a patient with liver cirrhosis
  1. Satoshi Hayano1,
  2. Takayuki Masaki2,
  3. Risako Tadakuma3 and
  4. Masayuki Kashima1
  1. 1Department of Internal Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  2. 2Department of Medical Technology, Faculty of Health Science, Kumamoto Health Science University, Kumamoto, Japan
  3. 3Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
  1. Correspondence to Dr Satoshi Hayano; 059m2076{at}gmail.com

Abstract

Photobacterium damselae subsp. damselae is a family of Vibrionaceae and exists in the marine environment. The organism rarely causes soft-tissue infection in humans; moreover, most of the infected individuals have a history of fishing or exposure to brackish water. We experienced the case of a 63-year-old patient with a history of liver cirrhosis (Child-Pugh class B) who presented with a fever and swelling of the left leg with pain. His symptoms developed after fishing and eating raw fish with exposure of brackish water. He was diagnosed with cellulitis, and Photobacterium damselae spp. damselae was detected in blood culture. The patient was treated with ceftazidime and minocycline and he was discharged after recovery. We need to be aware that in immunocompromised patients with cellulitis exposed to brackish water, organisms other than Staphylococci and Streptococci may be the causative organisms.

  • infectious diseases
  • cirrhosis

https://doi.org/10.1136/bcr-2021-242580

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    Footnotes

    • Contributors SH: conceptualisation, writing–original draft preparation. TM: writing–reviewing and editing, supervision. RT: writing–reviewing and editing. MK: writing–reviewing and editing, supervision.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.