{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T01:56:23Z","timestamp":1778810183754,"version":"3.51.4"},"reference-count":15,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,4,4]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>This case of <jats:italic>Pleisimonas shigelloides<\/jats:italic> bacteremia resulting after a catfish barb injury highlights an unusual presentation of a common condition that requires alternative therapy for successful treatment. An otherwise healthy male in his early 40s presented to the emergency department with sepsis and rapidly spreading cellulitis shortly after a catfish injury at a freshwater lake. His broad-spectrum antibiotics were narrowed to ciprofloxacin when <jats:italic>P. shigelloides<\/jats:italic> grew from his blood culture. The case presents a unique mode of bacteremia, as usually <jats:italic>P. shigelloides<\/jats:italic> bacteremia develops in immunocompromised hosts after bowel wall translocation. The venomous nature of catfish barbs also contributed to the severity and rapidity of his presentation secondary to the local tissue effects of envenomation. With proper antibiotics and supportive care, he made a full recovery.<\/jats:p>","DOI":"10.1136\/bcr-2023-257921","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T13:25:58Z","timestamp":1713273958000},"page":"e257921","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Pleisiomonas shigelloides<\/i> bacteremia after catfish injury"],"prefix":"10.1136","volume":"17","author":[{"given":"Catherine","family":"Glatz","sequence":"first","affiliation":[{"name":"Medicine, University of Rochester Medical Center, Rochester, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asad","family":"Arastu","sequence":"additional","affiliation":[{"name":"Hospital Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan K","family":"Train","sequence":"additional","affiliation":[{"name":"Medicine, University of Rochester Medical Center, Rochester, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"2025082703472373000_17.4.e257921.1","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1186\/1752-1947-7-122","article-title":"D catfish spine envenomation and bacterial abscess with proteus and morganella: a case report","volume":"7","author":"Huang","year":"2013","journal-title":"J Med Case Reports"},{"key":"2025082703472373000_17.4.e257921.2","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.wem.2017.07.007","article-title":"Recreational and commercial catfishing injuries: a review of the literature","volume":"28","author":"Kaar","year":"2017","journal-title":"Wilderness Environ Med"},{"key":"2025082703472373000_17.4.e257921.3","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1016\/j.toxicon.2006.02.005","article-title":"Frequency and gravity of human envenomations caused by marine catfish (suborder siluroidei): a clinical and epidemiological study","volume":"47","author":"Haddad","year":"2006","journal-title":"Toxicon"},{"key":"2025082703472373000_17.4.e257921.4","doi-asserted-by":"crossref","unstructured":"Peterson RA , Polgreen LA , Cavanaugh JE , et al . Increasing incidence, cost, and seasonality in patients hospitalized for cellulitis. Open Forum Infect Dis 2017;4. doi:10.1093\/ofid\/ofx008","DOI":"10.1093\/ofid\/ofx008"},{"key":"2025082703472373000_17.4.e257921.5","unstructured":"Tung Joe . Cost analysis of Cellulitis treatment for Medicare patients [Doctoral Dissertation]. Harvard Medical School, 2020"},{"key":"2025082703472373000_17.4.e257921.6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00103-15"},{"key":"2025082703472373000_17.4.e257921.7","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1580\/1080-6032(2003)014[0101:CSEACO]2.0.CO;2","article-title":"Catfish spine envenomation: a case of delayed presentation","volume":"14","author":"Ajmal","year":"2003","journal-title":"Wilderness Environ Med"},{"key":"2025082703472373000_17.4.e257921.8","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1580\/1080-6032(1999)010[0242:CSEACR]2.3.CO;2","article-title":"Catfish spine envenomation: a case report and literature review","volume":"10","author":"Blomkalns","year":"1999","journal-title":"Wilderness Environ Med"},{"key":"2025082703472373000_17.4.e257921.9","first-page":"578","article-title":"Catfish stings: a report of two cases","volume":"17","author":"Dorooshi","year":"2012","journal-title":"J Res Med Sci"},{"key":"2025082703472373000_17.4.e257921.10","doi-asserted-by":"crossref","unstructured":"Yacoub A , Janz T , Mojica MD , et al . A Fishmonger\u2019s tale a case report and review of literature. Infectious Disease Clinical Practice 2015. doi:10.1097\/IPC.0000000000000234","DOI":"10.1097\/IPC.0000000000000234"},{"key":"2025082703472373000_17.4.e257921.11","doi-asserted-by":"publisher","DOI":"10.3109\/08880019609030826"},{"key":"2025082703472373000_17.4.e257921.12","first-page":"437","article-title":"Spectrum of aeromonas and plesiomonas infections in patients with cancer and AIDS","volume":"47","author":"Rolston","year":"1991","journal-title":"Experientia"},{"key":"2025082703472373000_17.4.e257921.13","first-page":"375","article-title":"Plesiomonas Shigelloides infection in Hong Kong: retrospective study of 167 laboratory-confirmed cases","volume":"6","author":"Wong","year":"2000","journal-title":"Hong Kong Med J"},{"key":"2025082703472373000_17.4.e257921.14","first-page":"45","article-title":"Biliary tract disease as a risk factor for plesiomonas shigelloides bacteraemia: A nine-year experience in a hong kong hospital and review of the literature","volume":"28","author":"Woo","year":"2005","journal-title":"New Microbiology"},{"key":"2025082703472373000_17.4.e257921.15","first-page":"617","article-title":"Epididymo-orchitis and bacteremia caused by plesiomonas shigelloides in an hiv-infected patient","volume":"11","author":"Young","year":"2001","journal-title":"AIDS Read"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-257921","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:47:32Z","timestamp":1756291652000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-257921"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":15,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,16]]},"published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1136\/bcr-2023-257921"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-257921","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}