Septic shock caused by Plesiomonas shigelloides in a patient with sickle beta-zero thalassemia
published online 14 September 2009.
Invasive infection and extraintestinal complications are rarely caused by Plesiomonas shigelloides, a waterborne bacterium belonging to the Vibrionaceae family. We report a case of a 16-year-old female patient with sickle beta-zero thalassemia who survived septic shock caused by P. shigelloides associated with secondary acute respiratory distress syndrome and disseminated intravascular coagulation. Treatment with a carbapenem was successful, and the patient recovered without any sequelae. The previous reports of P. shigelloides sepsis are cited, and possible pathogenic mechanisms are discussed.
aCentro de Terapia Intensiva (Campus), Departamento de Cirurgia e Anatomia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, HCFMRP-USP, Ribeirão Preto, SP, Brasil
bComissão de Controle de Infecção Hospitalar, HCFMRP-USP, Ribeirão Preto, SP, Brasil
cDepartamento de Clínica Médica, HCFMRP-USP, Ribeirão Preto, SP, Brasil
dLaboratório de Biomarcadores de Diagnóstico e Monitoração, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brasil
Corresponding author: Maria Auxiliadora-Martins, MD, PhD, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto USP, Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia 2o andar, Av. Bandeirantes, 3900 Bairro Monte Alegre, CEP 14049-900, Ribeirão Preto SP, Brasil.
Fundação de Amparo ao Ensino, Pesquisa e Assistência (FAEPA) do Hospital das Clínicas, and Faculdade de Medicina de Ribeirão Preto-USP provided financial support.
The authors report no potential conflict of interest.
ABSTRACT