Plesiomonas Shigelloides Overgrowth in the Small Intestine
Overview
Authors
Affiliations
An 83-year-old male presented with chronic diarrhea and protein malnutrition associated with Plesiomonas shigelloides overgrowth in the small intestine. This overgrowth was related to achlorhydria and small-bowel diverticula. Tests for heat-labile and heat-stable enterotoxin were negative on the P. shigelloides isolated from both the small bowel aspirate (3 x 10(8) bacteria per ml) and the patient's stool. The patient responded satisfactorily to tetracycline, to which this unusual isolate was susceptible in vitro. The ability to correctly identify and determine the antimicrobial susceptibility of P. shigelloides in the setting of small-bowel overgrowth will help determine appropriate therapy.
Molecular Characterization, Intra-Species Diversity and Abundance of Freshwater Isolates.
Ekundayo T, Okoh A Microorganisms. 2020; 8(7).
PMID: 32698489 PMC: 7409234. DOI: 10.3390/microorganisms8071081.
Plesiomonas shigelloides Revisited.
Janda J, Abbott S, McIver C Clin Microbiol Rev. 2016; 29(2):349-74.
PMID: 26960939 PMC: 4786884. DOI: 10.1128/CMR.00103-15.
Klee F, Osswald B, Wysocki S J Gastroenterol. 1997; 32(2):246-50.
PMID: 9085176 DOI: 10.1007/BF02936376.
Inclusion bodies in Plesiomonas shigelloides.
Pastian M, Bromel M Appl Environ Microbiol. 1984; 47(1):216-8.
PMID: 6320723 PMC: 239642. DOI: 10.1128/aem.47.1.216-218.1984.
Aeromonas and plesiomonas as possible causes of diarrhoea.
Ljungh A, Wadstrom T Infection. 1985; 13(4):169-73.
PMID: 3899944 DOI: 10.1007/BF01642805.