Aeromonas veronii cellulitis, bacteremia, and sepsis in a patient with liver cirrhosis and end-stage renal disease following a minor abrasion with exposure to pond water: A case report and literature review

Aeromonads are a well-known cause of gastrointestinal illness in humans; however, extra-intestinal infections due to Aeromonas spp. have been increasingly reported. Severe infection and septic shock due to Aeromonas spp. is rare, though the risk is greater for immunocompromised individuals. Patients with liver cirrhosis have been noted to be at especially high risk for severe infection due to Aeromonas spp. Several cases of septicemia due to A. hydrophila have been reported in the literature. We report a rare case of A. veronii septicemia in a patient with known liver cirrhosis and end-stage renal disease following a minor abrasion with exposure to pond water. The patient's history fostered clinical suspicion of Aeromonas infection and tailored early diagnosis and treatment.

Automated summary

Aeromonads are known to cause gastrointestinal illness, but recent reports show that they can also cause extra-intestinal infections, especially in immunocompromised individuals. Patients with liver cirrhosis are particularly susceptible to severe infections caused by Aeromonas spp. We report a rare case of A. veronii septicemia in a patient with liver cirrhosis and end-stage renal disease after exposure to pond water.