A Severe Case of Aeromonas Sobria Sepsis after Surgery for Cancer of the Gastric Remnant

Yusuke Nagata, Hirohumi Tokuoka, Shigeru Mizushima, Takanori Matsuoka, Isao Takeda, Kazuo Sasaoka, Yutaka Nishioka

Department of Surgery, Kochi Prefectural Central Hospital

An 82-year-old woman was admitted to our hospital because of the cancer of the remnant stomach. Residual total gastrectomy, distal pancreatectomy and splenectomy were performed with dissection of the regional lymph nodes. On the first postoperative day, she was acutely ill and complained of abdominal pain. Then she manifested hypotension, subcutaneous hemorrhage and emphysema at the anterior chest wall. In spite of intensive therapy, she died about 36 hours after the operation. Aeromonas sobria was cultured from blood specimens. Any other previous case of postoperative infection due to Aeromonas sobria has been reported in the Japanese literature. As it takes rapidly progressive clinical course, we should pay attention to the diagnosis and chemotherapy.

Key words
Aeromonas sobria, septic shock, postoperative infection

Reprint requests
Yusuke Nagata Department of Surgery, Kochi Prefectural Central Hospital
2-7-33 Sakuraicho, Kochi, 780 JAPAN

Accepted
March 8, 1995

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