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Abstract
Aeromonas hydrophila is a gram-negative bacillus which has been rarely identified
as a human pathogen except in immunologically compromised hosts. We have recently
treated three patients for severe A hydrophila pneumonia and sepsis. Two of these
patients were healthy young men who aspirated the organism from contaminated water
associated with near drowning. One patient survived severe ARDS and gram-negative
sepsis. A third patient with chronic renal failure acquired A hydrophila pneumonia
at home and quickly died from the infection. A hydrophila is becoming more commonly
recognized as a lethal pathogen and should be sought when gram negative infection
is suspected.