Abstract
Edwardsiella tarda is a freshwater pathogen that may cause mild to invasive infections with high mortality in humans. We describe two patients with serious E. tarda infections. The first patient was a woman with a tuboovarian abscess (TOA) and bilateral salpingitis requiring surgical resection and drainage. Her hospital course was complicated by a postoperative wound infection. TOA fluid as well as surgical wound culture revealed pure growth of E. tarda resistant to several antibiotics. The second patient was a man with a bloodstream E. tarda infection and cholangitis who recently traveled to Ecuador. He presented with hypoxia and further workup revealed choledocholithiasis and common bile duct benign polyps. Both patients made a full recovery.
References
Winn W Jr, Allen S, Janda W, Koneman EW, Procarp GW, Schreckenberger PC, Woods GL. The enterobacteriaceae: color atlas and textbook of diagnostic microbiology, 6th ed. Philadelphia, PA: Lippincott, Williams and Wilkins 2006; pp 211–302.
Janda JM, Abbott SL. Infections associated with the genus Edwardsiella: the role of Edwardsiella tarda in human disease. Clin Infect Dis. 1993;17:742–8.
Nelson JJ, Nelson CA, Carter JE. Extraintestinal manifestations of Edwardsiella tarda infection: a 10-year retrospective review. J La State Med Soc. 2009;161:103–6.
Wyatt LE, Nickelson R 2nd, Vanderzant C. Edwardsiella tarda in freshwater catfish and their environment. Appl Environ Mircrobio. 1979;38:710–4.
Janda JM, Abbott SL, Kroske-Bystrom S, Cheung WK, Powers C, Kokka RP, Tamura K. Pathogenic properties of Edwardsiella species. J Clin Microbiology. 1991;29:1997–2001.
Slaven EM, Lopez FA, Hart SM, Sanders CV. Myonecrosis caused by Edwardsiella tarda: a case report and case series of extraintestinal E. tarda infections. Clin Infect Dis. 2001;32:1430–3.
Stock I, Wiedemann B. Natural antibiotic susceptibilities of Edwardsiella tarda, E. ictaluri, and E. hoshinae. Antimibrob Agents Chemother. 2001;45:2245–55.
Sechter I, Shmilovitz M, Altmann G, Seligmann R, Kretzer B, Braunstein I, Gerichter CB. Edwardsiella tarda isolated in Israel between 1961 and 1980. J Clin Microbiol. 1983;17:669–71.
Pien FD, Jackson MT. Tuboovarian abscess caused by Edwardsiella tarda. Am J Obstet Gynecol. 1995;173:964–5.
Wang IK, Kuo HL, Chen YM, Lin CL, Chang HY, Chuang FR, Lee MH. Extraintestinal manifestations of Edwardsiella tarda infection. Int J Clin Pract. 2005;59:917–21.
Yang CH, Wang CK. Edwardsiella tarda bacteraemia—complicated by acute pancreatitis and pyomyoma. J Infect. 1999;38:124–6.
Huang YC, Fracica PJ, Simonson SG, Crapo JD, Young SL, Welty-Wolf KE, Moon RE, Piantadosi CA. VA/Q abnormalities during gram negative sepsis. Respir Physiol. 1996;105(1–2):109–21.
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Golub, V., Kim, A.C. & Krol, V. Surgical wound infection, tuboovarian abscess, and sepsis caused by Edwardsiella tarda: case reports and literature review. Infection 38, 487–489 (2010). https://doi.org/10.1007/s15010-010-0057-5
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DOI: https://doi.org/10.1007/s15010-010-0057-5