The Shell’s Trouble: A Case of child bloodstream infection caused by Aeromonas salmonicida subsp. salmonicida

Abstract BackgroundA. salmonicida ( Aeromonas salmonicida ) is a Gram-negative bacteria which frequently reported as fish pathogen. A. salmonicida is generally considered to be non-pathogenic to humans. Case presentationA 22-month-old boy was admitted to hospital with a one-day fever history, A. salmonicida subsp. Salmonicida was isolated from his blood. He had an epidemiological history of being scratched by a shell. After 6 days’ antibacterial treatment, he recovered well and was discharged. ConclutionThis case is the first report of A. salmonicida infection by shellfish and the patient is also the youngest patient among reported infected person. The empirical use of first-generation cephalosporin seems to be effective in the treatment.