Fulminant Aeromonas caviae bacteremia with migratory myalgia: a case report of a CTX-M-3-producing multidrug-resistant strain

Lijing Guo, Ziyu Zhao, Kuo Li, Weichen Huang, Ningni Ma, Xinyi Jin, Baihui Gui, Qianhui Li, Chang Li, Chaogui Tang, Hongmei Zhao, Jingjing Huang, Sumin Gao, Ning Lin · 2026

Read Fulminant Aeromonas caviae bacteremia with migratory myalgia: a case report of a CTX-M-3-producing multidrug-resistant strain by Lijing Guo, Ziyu Zhao, Kuo Li, Weichen Huang, Ningni Ma, Xinyi Jin, Baihui Gui, Qianhui Li, Chang Li, Chaogui Tang, Hongmei Zhao, Jingjing Huang, Sumin Gao, Ning Lin (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13491931.txt.

Description

Lijing Guo leads a fourteen-author team telling in 2026 how a seventy-one-year-old man nearly died from a waterborne bacterium picked up through a minor injury in a paddy field. Aeromonas caviae flooded his bloodstream, causing septic shock and oddly migrating muscle pain. Standard first-line therapy at the referring hospital failed, and cultures revealed a multidrug-resistant strain.

Whole-genome sequencing confirmed the species beyond doubt and exposed its resistance arsenal, including an extended-spectrum enzyme gene, CTX-M-3, rarely seen in this species. The isolate still yielded to a carbapenem antibiotic called biapenem, and switching therapy cleared the infection quickly. The authors note that one carbapenem failed while another worked, possibly due to the patient's low albumin and kidney injury, and they call for surveillance linking environmental and human resistance.

Catalog record

CREATORLijing Guo, Ziyu Zhao, Kuo Li, Weichen Huang, Ningni Ma, Xinyi Jin, Baihui Gui, Qianhui Li, Chang Li, Chaogui Tang, Hongmei Zhao, Jingjing Huang, Sumin Gao, Ning Lin
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE49727
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13491931

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