Table 1 Clinical records of patients in the outbreak
Characteristic | Patient 1 | Patient 2 | Patient 3 | Patient 4 |
|---|---|---|---|---|
Sex | Male | Male | Female | Male |
Age (years) | 36 | 73 | 77 | 38 |
Admission date | July 29, 2019 | July 19, 2019* | July 29, 2019 | August 29, 2019 |
Diseases related to admission for spine surgery | Cervical spondylosis | Lumbar spinal stenosis, lumbar disc herniation | Lumbar spinal stenosis, lumbar disc herniation | Kyphosis |
Underlying diseases | None | Hypertension, hepatitis B infection | Diabetes | Ankylosing spondylitis |
Surgery date | August 2, 2019 | July 26, 2019* | August 5, 2019 | September 3, 2019 |
Location of surgery | Cervical | Lumbar | Lumbar | Thoracolumbar |
Implants | Yes | Yes | Yes | Yes |
Date of fever onset | August 6, 2019 | August 7, 2019* | August 15, 2019 | None |
Days of onset of fever following surgery | Four | 12 | 10 | None |
First isolation of A. hydrophila | August 6, 2019 | August 11, 2019 | August 13, 2019 | September 9, 2019 |
Symptoms | Fever | Fever, chills | Fever, redness, and swelling of the right upper limb | None |
Treatments | MRP, VAN | CAZ, MRP, VAN, ATM, LEV, CFM | FEP, MRP, VAN, LZD, LEV | MRP, VAN, LZD, CFM |
Discharge date | September 4, 2019 | August 26, 2019 | September 20, 2019 | September 16, 2019 |
Days of hospitalization | 37 | 38 | 53 | 18 |
Complications | CSF leak, poor wound healing | CSF leak, atrial fibrillation, acute kidney injury | CSF leak, poor wound healing, acute heart failure | Implant fracture 1 year after surgery |