Akbari Maryam, Hadi Nahal, Moradi Farhad
Department of Health Center & Bacteriology laboratory, Jahrom University of Medical Sciences, Jahrom, Iran.
Department of Bacteriology & Virology, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
IDCases. 2025 May 5;40:e02245. doi: 10.1016/j.idcr.2025.e02245. eCollection 2025.
Due to infrequent detection and reporting of enteric infections caused by species compared to other enteric bacteria, this report describes a case of enteric infection caused by species in a child girl after eating fresh fish and drinking from a river near her village in southern Fars province, Iran. In this case, a rectal swab culture and stool examination were requested for investigation due to diarrhea. Bacteriological laboratory tests revealed an intestinal infection with species. Confirmation was therefore carried out using the automated BD Phoenix system and biochemical reactions. The results showed biovar . Fortunately, in our cases, the intestinal infection was self-limiting and no antibiotics were given. This case highlights a rare occurrence of intestinal infection and demonstrates the risk of river and freshwater fish in transmitting to humans, especially in infants and child, which can be dangerous for this age group. It highlights the potential health risks associated with drinking water from natural sources, especially in rural areas or in underserved areas where the quality of the water may be compromised. To understand the prevalence of infections in similar settings and develop targeted prevention strategies, we recommend further epidemiological studies and healthcare providers should be vigilant and consider as a potential pathogen in patients with gastrointestinal symptoms, especially after exposure to contaminated water.
与其他肠道细菌相比，由于由该菌种引起的肠道感染检测和报告较少，本报告描述了一名伊朗法尔斯省南部村庄的女童在食用新鲜鱼类并饮用村庄附近河流的水后，由该菌种引起肠道感染的病例。在该病例中，因腹泻而要求进行直肠拭子培养和粪便检查以进行调查。细菌学实验室检测显示肠道感染了该菌种。因此，使用自动化BD Phoenix系统和生化反应进行了确认。结果显示为生物变种。幸运的是，在我们的病例中，肠道感染是自限性的，未给予抗生素治疗。该病例突出了该菌种肠道感染的罕见情况，并表明河流和淡水鱼在将该菌种传播给人类方面的风险，尤其是对婴儿和儿童，这对该年龄组可能是危险的。它突出了与从天然水源饮水相关的潜在健康风险，特别是在农村地区或服务不足地区，那里的水质可能受到影响。为了解类似环境中该菌种感染的流行情况并制定有针对性的预防策略，我们建议进一步开展流行病学研究，医疗保健提供者应保持警惕，并将该菌种视为有胃肠道症状患者的潜在病原体，特别是在接触受污染水之后。
