Edwardsiella tarda Bacteremia, Okayama, Japan, 2005–2016

Edwardsiella tarda is primarily associated with gastrointestinal disease, but an increasing number of cases involving extraintestinal disease, especially E. tarda bacteremia, have been reported. Using clinical information of E. tarda bacteremia patients identified during January 2005–December 2016 i...

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Main Authors: Shinya Kamiyama, Akira Kuriyama, Toru Hashimoto
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2019-10-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/25/10/18-0518_article
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author Shinya Kamiyama
Akira Kuriyama
Toru Hashimoto
author_facet Shinya Kamiyama
Akira Kuriyama
Toru Hashimoto
author_sort Shinya Kamiyama
collection DOAJ
description Edwardsiella tarda is primarily associated with gastrointestinal disease, but an increasing number of cases involving extraintestinal disease, especially E. tarda bacteremia, have been reported. Using clinical information of E. tarda bacteremia patients identified during January 2005–December 2016 in Japan, we characterized the clinical epidemiology of E. tarda bacteremia. A total of 182,668 sets of blood cultures were obtained during the study period; 40 (0.02%) sets from 26 patients were positive for E. tarda. The most common clinical manifestations were hepatobiliary infection, including cholangitis, liver abscess, and cholecystitis. Overall 30-day mortality for E. tarda bacteremia was 12%, and overall 90-day mortality was 27%. The incidence of E. tarda infection did not vary by season. We more frequently observed hepatobiliary infection in patients with E. tarda bacteremia than in patients with nonbacteremic E. tarda infections. E. tarda bacteremia is a rare entity that is not associated with high rates of death.
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spelling doaj.art-3fec06db8ab74d13929d018c9f3009cc2022-12-22T02:05:23ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592019-10-0125101817182310.3201/eid2510.180518Edwardsiella tarda Bacteremia, Okayama, Japan, 2005–2016Shinya KamiyamaAkira KuriyamaToru HashimotoEdwardsiella tarda is primarily associated with gastrointestinal disease, but an increasing number of cases involving extraintestinal disease, especially E. tarda bacteremia, have been reported. Using clinical information of E. tarda bacteremia patients identified during January 2005–December 2016 in Japan, we characterized the clinical epidemiology of E. tarda bacteremia. A total of 182,668 sets of blood cultures were obtained during the study period; 40 (0.02%) sets from 26 patients were positive for E. tarda. The most common clinical manifestations were hepatobiliary infection, including cholangitis, liver abscess, and cholecystitis. Overall 30-day mortality for E. tarda bacteremia was 12%, and overall 90-day mortality was 27%. The incidence of E. tarda infection did not vary by season. We more frequently observed hepatobiliary infection in patients with E. tarda bacteremia than in patients with nonbacteremic E. tarda infections. E. tarda bacteremia is a rare entity that is not associated with high rates of death.https://wwwnc.cdc.gov/eid/article/25/10/18-0518_articleEdwardsiella tardabacteremiamortalityobservational studysepsisJapan
spellingShingle Shinya Kamiyama
Akira Kuriyama
Toru Hashimoto
Edwardsiella tarda Bacteremia, Okayama, Japan, 2005–2016
Emerging Infectious Diseases
Edwardsiella tarda
bacteremia
mortality
observational study
sepsis
Japan
title Edwardsiella tarda Bacteremia, Okayama, Japan, 2005–2016
title_full Edwardsiella tarda Bacteremia, Okayama, Japan, 2005–2016
title_fullStr Edwardsiella tarda Bacteremia, Okayama, Japan, 2005–2016
title_full_unstemmed Edwardsiella tarda Bacteremia, Okayama, Japan, 2005–2016
title_short Edwardsiella tarda Bacteremia, Okayama, Japan, 2005–2016
title_sort edwardsiella tarda bacteremia okayama japan 2005 2016
topic Edwardsiella tarda
bacteremia
mortality
observational study
sepsis
Japan
url https://wwwnc.cdc.gov/eid/article/25/10/18-0518_article
work_keys_str_mv AT shinyakamiyama edwardsiellatardabacteremiaokayamajapan20052016
AT akirakuriyama edwardsiellatardabacteremiaokayamajapan20052016
AT toruhashimoto edwardsiellatardabacteremiaokayamajapan20052016