Chuang H, Ho Y, Lay C, et al: Different clinical characteristics among Aeromonas hydrophilia, Aeromonas veronii biovar sobria and Aeromonas caviae monomicrobial bacteremia. J Korean Med Sci 26: 1415, 2011.
Parker J, Shaw J: Aeromonas spp. clinical microbiology and disease. J Infect 62: 109, 2011.
Ko W, Lee H, Chuang Y, et al: Clinical features and therapeutic implications of 104 episodes of monomicrobial Aeromonas bacteraemia. J Infect 40: 267, 2000.
Park S, Nam H, Park K, et al: Aeromonas hydrophilia sepsis mimicking Vibrio vulnificus infection. Ann Dermatol 23(suppl 1): 25, 2011.
Murray P, Rosenthal K, Pfaller M: “Aeromonas and Vibrio,” in Medical Microbiology, 6th Ed, p 317, edited by P Murray, K Rosenthal, M Pfaller, Mosby, Philadelphia, 2008.
Lay C, Zhuang H, Ho Y, et al: Different clinical characteristics between polymicrobial and monomicrobial Aeromonas bacteremia: a study of 216 cases. Intern Med J 49: 2415, 2010.
Katz M, Parrish N, Belani A, et al: Recurrent Aeromonas due to contaminated well water. Open Forum Infect Dis 2: ofv142, 2015.
Centers for Disease Control and Prevention: Drinking water: well testing. Available at: https://www.cdc.gov/healthywater/drinking/private/wells/testing.html. Accessed March 15, 2017.
We report an unusual case of Aeromonas hydrophilia septicemia in a nonmobile diabetic patient secondary to contaminated well water used for bathing with a portal of entry through chronic forefoot and heel ulcers. To date, there are no documented cases similar to this patient's presentation. Aeromonas hydrophilia is commonly distributed among aquatic environments and tends to be found during warmer months. It is a rare cause of disease but can be life threatening and deadly, as in our case, in immunocompromised individuals. As podiatric physicians, we must remain diligent and have a high index of suspicion to identify patients at risk for this rare but serious infection and administer treatment aggressively to limit morbidity and mortality.