Aeromonas
Encyclopedia
Aeromonas is a gram-negative
Gram-negative
Gram-negative bacteria are bacteria that do not retain crystal violet dye in the Gram staining protocol. In a Gram stain test, a counterstain is added after the crystal violet, coloring all Gram-negative bacteria with a red or pink color...

, facultative anaerobic rod
Facultative anaerobic organism
A facultative anaerobic organism is an organism, usually a bacterium, that makes ATP by aerobic respiration if oxygen is present but is also capable of switching to fermentation...

 that morphologically resembles members of the family Enterobacteriaceae
Enterobacteriaceae
The Enterobacteriaceae is a large family of bacteria that includes many of the more familiar pathogens, such as Salmonella, Escherichia coli, Yersinia pestis, Klebsiella and Shigella. This family is the only representative in the order Enterobacteriales of the class Gammaproteobacteria in the...

. Fourteen species of Aeromonas have been described, most of which have been associated with human diseases. The most important pathogens are A. hydrophila
Aeromonas hydrophila
Aeromonas hydrophila is a heterotrophic, Gram-negative, rod shaped bacterium, mainly found in areas with a warm climate. This bacterium can also be found in fresh, salt, marine, estuarine, chlorinated, and un-chlorinated water. Aeromonas hydrophila can survive in aerobic and anaerobic...

, A. caviae, and A. veronii
Aeromonas veronii
Aeromonas veronii is a Gram-negative, rod-shaped bacterium found in fresh water and in association with animals. It can be a pathogen of humans and a beneficial symbiont of leeches. In humans A. veronii can cause diseases ranging from wound infections and diarrhea to septicemia in immunocompromised...

biovar sobria. The organisms are ubiquitous in fresh and brackish water.

They group with the gamma subclass of the Proteobacteria.

Two major diseases associated with Aeromonas are gastroenteritis
Gastroenteritis
Gastroenteritis is marked by severe inflammation of the gastrointestinal tract involving both the stomach and small intestine resulting in acute diarrhea and vomiting. It can be transferred by contact with contaminated food and water...

 and wound infections, with or without bacteremia
Bacteremia
Bacteremia is the presence of bacteria in the blood. The blood is normally a sterile environment, so the detection of bacteria in the blood is always abnormal....

. Gastroenteritis typically occurs after the ingestion of contaminated water or food, whereas wound infections result from exposure to contaminated water.

Although some potential virulence factors (e.g. endotoxin
Endotoxin
Endotoxins are toxins associated with some Gram-negative bacteria. An "endotoxin" is a toxin that is a structural molecule of the bacteria that is recognized by the immune system.-Gram negative:...

s, hemolysin
Hemolysin
Hemolysins are exotoxins produced by bacteria that cause lysis of red blood cells in vitro. Visualization of hemolysis of red blood cells in agar plates facilitates the categorization of some pathogenic bacteria such as Streptococcus and Staphylococcus...

s, enterotoxin
Enterotoxin
An enterotoxin is a protein toxin released by a microorganism in the intestine. Enterotoxins are chromosomally encoded exotoxins that are produced and secreted from several bacterial organisms. They are often heat-stable, and are of low molecular weight and water-soluble...

s, adherence factors) have been identified, their precise role is unknown. Aeromonas species cause:
  1. opportunistic systemic disease in immunocompromised
    Immunodeficiency
    Immunodeficiency is a state in which the immune system's ability to fight infectious disease is compromised or entirely absent. Immunodeficiency may also decrease cancer immunosurveillance. Most cases of immunodeficiency are acquired but some people are born with defects in their immune system,...

     patients
  2. diarrheal disease in otherwise healthy individuals, and
  3. wound infections

Differential diagnosis caution

If automated machines are not using the most updated database, Elizabethkingia meningoseptica may be mistaken as Aeromonas salmonicida.
Leech
Leech
Leeches are segmented worms that belong to the phylum Annelida and comprise the subclass Hirudinea. Like other oligochaetes such as earthworms, leeches share a clitellum and are hermaphrodites. Nevertheless, they differ from other oligochaetes in significant ways...

es have been implicated in the transmission of Aeromonas infections to humans.

Gastroenteritis

Gastrointestinal disease in children is usually an acute, severe illness, whereas that in adults tends to be chronic diarrhea. Severe Aeromonas gastroenteritis resembles shigellosis
Shigellosis
Shigellosis, also known as bacillary dysentery or Marlow Syndrome, in its most severe manifestation, is a foodborne illness caused by infection by bacteria of the genus Shigella. Shigellosis rarely occurs in animals other than humans and other primates like monkeys and chimpanzees...

, with blood and leukocytes in the stool. Acute diarrheal disease is self limited, and only supportive care is indicated in affected patients.

Antimicrobial therapy

It is necessary for patients with chronic diahreal disease or systemic infection. Aeromonas species are resistant to penicillin
Penicillin
Penicillin is a group of antibiotics derived from Penicillium fungi. They include penicillin G, procaine penicillin, benzathine penicillin, and penicillin V....

s, most cephalosporin
Cephalosporin
The cephalosporins are a class of β-lactam antibiotics originally derived from Acremonium, which was previously known as "Cephalosporium".Together with cephamycins they constitute a subgroup of β-lactam antibiotics called cephems.-Medical use:...

s, and erythromycin
Erythromycin
Erythromycin is a macrolide antibiotic that has an antimicrobial spectrum similar to or slightly wider than that of penicillin, and is often used for people who have an allergy to penicillins. For respiratory tract infections, it has better coverage of atypical organisms, including mycoplasma and...

. Ciprofloxacin
Ciprofloxacin
Ciprofloxacin is a synthetic chemotherapeutic antibiotic of the fluoroquinolone drug class.It is a second-generation fluoroquinolone antibacterial. It kills bacteria by interfering with the enzymes that cause DNA to rewind after being copied, which stops synthesis of DNA and of...

 is consistently active against their strains in the U.S. and Europe, but resistant cases have before been reported in Asia.

Etymology

The name Aeromonas derives from:
Greek noun aer, aeros (ἀήρ, ἀέρος), air, gas; Greek feminine gender
Grammatical gender
Grammatical gender is defined linguistically as a system of classes of nouns which trigger specific types of inflections in associated words, such as adjectives, verbs and others. For a system of noun classes to be a gender system, every noun must belong to one of the classes and there should be...

 noun monas (μονάς / μονάδα)
-monas
The suffix -monas is used in microbiology for many genera and is intended to mean "unicellular organism".-Meaning:The suffix -monas is used in microbiology for many genera in a similar way to -bacter, -bacillus, -coccus or -spirillum...

, unit, monad; New Latin
New Latin
The term New Latin, or Neo-Latin, is used to describe the Latin language used in original works created between c. 1500 and c. 1900. Among other uses, Latin during this period was employed in scholarly and scientific publications...

 feminine gender
Grammatical gender
Grammatical gender is defined linguistically as a system of classes of nouns which trigger specific types of inflections in associated words, such as adjectives, verbs and others. For a system of noun classes to be a gender system, every noun must belong to one of the classes and there should be...

 noun Aeromonas, gas(-producing) monad.

Members of the genus Aeromonas can be referred to as aeromonad (viz. Trivialisation of names).
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