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Pleisiomonas shigelloides bacteremia after catfish injury
  1. Catherine Glatz1,
  2. Asad Arastu2 and
  3. Meghan K Train1
  1. 1 Medicine, University of Rochester Medical Center, Rochester, New York, USA
  2. 2 Hospital Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Catherine Glatz; catherine_glatz{at}urmc.rochester.edu

Abstract

This case of Pleisimonas shigelloides bacteremia resulting after a catfish barb injury highlights an unusual presentation of a common condition that requires alternative therapy for successful treatment. An otherwise healthy male in his early 40s presented to the emergency department with sepsis and rapidly spreading cellulitis shortly after a catfish injury at a freshwater lake. His broad-spectrum antibiotics were narrowed to ciprofloxacin when P. shigelloides grew from his blood culture. The case presents a unique mode of bacteremia, as usually P. shigelloides bacteremia develops in immunocompromised hosts after bowel wall translocation. The venomous nature of catfish barbs also contributed to the severity and rapidity of his presentation secondary to the local tissue effects of envenomation. With proper antibiotics and supportive care, he made a full recovery.

  • Infectious diseases
  • Medical management
  • General practice / family medicine

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Footnotes

  • X @CatieGlatz

  • Contributors The following authors were responsible for drafting the text, sourcing and editing clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: CG, AA, MK, DO, FHM and FACP. The following authors gave final approval of the manuscript: CG, AA, MKT, DO, FHM and FACP.

  • 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.