Multifocal Aeromonas Osteomyelitis in a Child with Leukemia

Abstract

Aeromonas hydrophilais a Gram negative organism causing both intestinal and extraintestinal disease. The case of a 14-year-old girl with underlying immunodeficiency and leukemia who developed systemicA. hydrophilainfection is described in this report. While in deep bone marrow aplasia she developed fever, severe pain in the lower extremities, and swelling of the left femur. Blood culture showedEscherichia coliandA. hydrophilawhereas pus culture from the soft tissue swelling showed the presence ofA. hydrophila. Imaging studies showed diffuse osteolytic lesions. Patient received 5 months of intravenous and oral antibiotics and she improved clinically whereas the radiology findings persisted.