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Aeromonas salmonicida urinary tract infection in a newly diagnosed AIDS patient on antitubercular treatment
  1. Lonika Lodha1,
  2. Rishabh Bose2,
  3. Sagar Khadanga2 and
  4. Shashank Purwar1
  1. 1Microbiology, All India Institute of Medical Sciences - Bhopal, Bhopal, Madhya Pradesh, India
  2. 2General Medicine, All India Institute of Medical Sciences - Bhopal, Bhopal, Madhya Pradesh, India
  1. Correspondence to Dr Shashank Purwar; shashank.microbiology{at}aiimsbhopal.edu.in

Abstract

Aeromonas salmonicida is a well-known pathogen in salmonid fishes. It was believed to be non-pathogenic to humans because of inability to grow at 37°C. Here we present a case of a woman in her 20s who was diagnosed with abdominal tuberculosis 6 months previously but had not been compliant with the treatment. She presented with occasional febrile episodes, whitish vaginal discharge, burning micturition, anal ulcer, whitish discharge from mouth and recent onset breathlessness. Patient tested serologically positive for HIV-1, and A. salmonicida was isolated from urine sample. Patient was treated with antituberculosis therapy, antiretroviral therapy and antimicrobials. She showed marked improvement over the next few weeks. This case highlights the importance of recognition of rare organisms, especially in immunocompromised patients. The identification and subsequent treatment of such pathogens have improved since the advent of automated identification systems.

  • HIV / AIDS
  • Tropical medicine (infectious disease)
  • Urinary tract infections
  • Tuberculosis

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Footnotes

  • Contributors LL was involved in microbiological diagnosis, preparation of the draft and literature review. RB was involved in patient care and follow-up along with preparation of draft. SK supervised overall patient care. SP supervised microbiological diagnosis, conceptualised the case report, finalised the draft and is responsible for the overall content as guarantor. All authors approved the final version of the manuscript.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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

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