Abstract
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.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Adolescent
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Anti-Bacterial Agents / therapeutic use
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Anti-Infective Agents / therapeutic use
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Carbapenems / therapeutic use*
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Ceftriaxone / therapeutic use
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Clarithromycin / therapeutic use
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Critical Illness
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Disseminated Intravascular Coagulation
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Female
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Gram-Negative Bacterial Infections / drug therapy*
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Gram-Negative Bacterial Infections / etiology
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Gram-Negative Bacterial Infections / microbiology
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Hemoglobin, Sickle / analysis*
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Humans
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Imipenem / therapeutic use
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Intensive Care Units
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Metronidazole / therapeutic use
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Plesiomonas / isolation & purification*
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Respiratory Distress Syndrome
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Shock, Septic / drug therapy*
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Shock, Septic / microbiology
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Thalassemia / complications
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Thalassemia / drug therapy*
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Thalassemia / microbiology
Substances
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Anti-Bacterial Agents
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Anti-Infective Agents
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Carbapenems
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Hemoglobin, Sickle
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Metronidazole
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Imipenem
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Ceftriaxone
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Clarithromycin