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The Journal of Pediatric Infectious Diseases and Immunology > Vol.26 No.1 contents > Abstract

Article in Japanese

A case of bacterial enterocolitis due to Plesiomonas shigelloides and Edwardsiella tarda


A previously healthy 10-year-old boy presented with fever, abdominal pain, vomiting, and severe diarrhea. Three days before onset of the symptoms, he ate fresh slices of raw carp and grilled eel with his mother, who also had abdominal pain and mild diarrhea. He was hospitalized after experiencing high fever, with vomiting and watery diarrhea more than 30 times daily for 3 days. His condition was complicated with dehydration and stool culture identified as Plesiomonas shigelloides and Edwardsiella tarda. When intravenous infusion and antibiotics (ceftriaxone) were administered, he became free of symptoms in one week and cured without being an asymptomatic carrier. He had no history of overseas travel or contact with pets or wild animals. Raw carp and grilled eel were postulated as causative food.
Plesiomonas shigelloides and Edwardsiella tarda have been isolated frequently from fish and water environments, especially in tropical and subtropical areas. However, simultaneous infection of these bacteria has been reported rarely. This clinical report is the first case of acute enterocolitis due to these bacteria.

Department of Pediatrics, Nagoya Memorial Hospital

Key words
Received November 19, 2013
Accepted February 4, 2014

26 (1):49─53,2014