A survived case of Aeromonas hydrophila septicemia

Abstract

A 50-year-old man was pointed out hepatitis B virus infection when he underwent gastric cancer surgery. After that, he was treated with Entecavir. Hepatocellular carcinoma was pointed out during follow-up. We performed hepatic S8 subsegment resection. He was discharged without any complications. Four weeks after discharging, he developed a fever of 41°C, vomiting, diarrhea and delirium. He was transported by ambulance to our hospital. He was in a state of shock and DIC. We diagnosed septic shock. We performed circulation control and administered antibiotic and gamma globulin. We took measures against bacterial translocation. Aeromonas hydrophila was detected from blood and stool cultures. The clinical course was good, and he was discharged on the 14th day after hospitalization. A. hydrophila infection is known to become very serious in compromised hosts. This case had two risk factors: chronic hepatitis and post-gastrectomy. We here report a survived case of A. hydrophila infection.