A Rare but Fatal Waterborne Infection

Published:January 15, 2021DOI:
      A 58-year-old African American man with a history of hepatitis C and polysubstance abuse presented to the Emergency Department following a 1-day history of catfish sting to his left hand. Physical examination was notable for erythema and swelling over his left hand. Labs were significant for a white blood cell count of 1700/μL, lactic acidosis (serum lactate 16.3 mmol/L), creatinine kinase of 2458 Unit/L, creatinine of 1.27 mg/dL, and an international normalized ratio of 2.4. Computed tomography of the left extremity showed superficial soft tissue edema. He was started on broad-spectrum antibiotics for his severe wound infection.
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        • Janda JM
        • Abbott SL
        Infections associated with the genus Edwardsiella: the role of Edwardsiella tarda in human disease.
        Clin Infect Dis. 1993; 17: 742-748
        • Harai Y
        • Asahata-Tago S
        • Ainoda Y
        • Fujita T
        • Kikuchi K
        Edwardsiella tarda bacteremia. A rare but fatal water- and food borne infection: review of the literature and clinical cases from a single centre.
        Can J Infect Dis Med Microbiol. 2015; 26: 313-318
        • Slaven EM
        • Lopez FA
        • Hart SM
        • Sanders CV
        Myonecrosis caused by Edwardsiella tarda: a case report and case series of extraintestinal E. tarda infections.
        Clin Infect Dis. 2001; 32: 1430-1433