Mionecrosis fulminante metastásica por Aeromonas caviae / Methastatic fulminant myonecrosis due to Aeromonas caviae
Med. interna Méx
; 34(1): 142-151, ene.-feb. 2018. tab, graf
Article
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| ID: biblio-976053
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RESUMEN
Resumen Las especies de Aeromonas de la familia Aeromonadaceae son bacilos gramnegativos, anaerobios facultativos, citocromo oxidasa, catalasa e indol-positivo. Se encuentran naturalmente en el medio ambiente, pero principalmente en agua dulce y salina, asimismo, se han aislado de vegetales, carne, mariscos y alimentos procesados. Las infecciones de piel y tejidos blandos por Aeromonas spp son poco frecuentes. Se han reportado en el mundo infecciones en tejidos blandos secundarias a traumatismo local en contacto con tierra o agua, a intervención quirúrgica o a diseminación hematógena en enfermos inmunodeprimidos a partir de translocación bacteriana intestinal. De los casos reportados en humanos la gastroenteritis se manifiesta con mayor frecuencia; sin embargo, se han descrito infecciones extraintestinales de gravedad que ponen en peligro la vida, como septicemia, fascitis necrotizante y mionecrosis. Comunicamos un caso de mionecrosis fulminante por Aeromonas caviae que evolucionó desfavorablemente con desenlace fatal.
ABSTRACT
Abstract The Aeromonas species of the Aeromonadaceae family are gram-negative bacilli, facultative anaerobes, cytochrome oxidase, catalase and indole-positive bacilli. They are found naturally in the environment, but they are mainly found in fresh and salt water, and they have been isolated from vegetables, meat, seafood and processed foods. Skin and soft tissue infections caused by Aeromonas spp are rare. Soft tissue infections secondary to local trauma in contact with soil or water have been reported in the world, in surgical intervention or in hematogenous dissemination in immunosuppressed patients from intestinal bacterial translocation. Of the cases reported in humans, gastroenteritis is the most frequent; however, life-threatening extraintestinal infections such as septicemia, necrotizing fasciitis, and myonecrosis have been reported. This paper reports a case of fulminating myonecrosis caused by Aeromonas caviae, which evolved unfavorably, unfortunately with a fatal outcome.
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Coleções:
01-internacional
Base de dados:
LILACS
Idioma:
Es
Revista:
Med. interna Méx
Assunto da revista:
MEDICINA INTERNA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
México
País de publicação:
México