To the Editor.—
Ramsay et al (239:128, 1978) recently reported a case of Aeromonas hydrophilia sepsis in a patient undergoing hemodialysis therapy. We report a case of A hydrophilia septicemia seen at Walter Reed Army Medical Center.
Report of a Case.—
A 79-year-old man with a history of heart disease, but otherwise in good health, was seen in the emergency room for two episodes of dull epigastric pain associated with nausea during a 24-hour period. The patient was admitted for possible myocardial infarction. Cardiac enzyme levels and ECGs showed no evidence of myocardial infarction, but on the second hospital day the patient had a temperature of 39 °C. Four blood cultures grew A hydrophilia. The strain was sensitive to gentamicin, amikacin, and tobramycin and resistant to ampicillin, cephalothin, and carbenicillin. Stool culture subsequently grew A hydrophilia. He received a ten-day course of gentamicin sulfate, with resolution of epigastric pain and