• J Med Case Rep · Jul 2016

    Case Reports

    Near-drowning-associated pneumonia with bacteremia caused by coinfection with methicillin-susceptible Staphylococcus aureus and Edwardsiella tarda in a healthy white man: a case report.

    • Lucas Santos Zambon, Guilherme Nader Marta, Natan Chehter, Luis Guilherme Del Nero, and Marina Costa Cavallaro.
    • Emergency Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 255, 5o andar, Sala 5023, Cerqueira Cesar, ZIP Code 05403-010, São Paulo, SP, Brazil. lucaszambon@yahoo.com.br.
    • J Med Case Rep. 2016 Jul 16; 10: 197.

    BackgroundEdwardsiella tarda is an Enterobacteriaceae found in aquatic environments. Extraintestinal infections caused by Edwardsiella tarda in humans are rare and occur in the presence of some risk factors. As far as we know, this is the first case of near-drowning-associated pneumonia with bacteremia caused by coinfection with methicillin-susceptible Staphylococcus aureus and Edwardsiella tarda in a healthy patient.Case PresentationA 27-year-old previously healthy white man had an episode of fresh water drowning after acute alcohol consumption. Edwardsiella tarda and methicillin-sensitive Staphylococcus aureus were isolated in both tracheal aspirate cultures and blood cultures.ConclusionThis case shows that Edwardsiella tarda is an important pathogen in near drowning even in healthy individuals, and not only in the presence of risk factors, as previously known.

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