Freshwater fish are of minor importance as vectors of food-borne disease in humans. These diseases can only rarely be traced back to bacterial pathogens. However, there is a number of bacteria with facultative pathogenicity for man, which are part of the natural aquatic environment. Among these bacteria, the motile aeromonads (A. sp.) have become more and more important. A review is presented on A. sp. infections which have been traced back to contact with fish or water. Critical discussion of these cases reveals that the etiological relevance of A. sp. remains unclarified. However, bacteria of this group can be associated with sometimes fatal infections in humans after contact with fish or water. As A. sp. are ubiquitous in water and can survive even in chlorinated tap water, infections are not necessarily restricted to contact with fish. Persons at risk (patients with chronic or malignant diseases, immunocompromised hosts, children, people with frequent contact with water) should be informed about the perceived risks of aeromonads and how to avoid infection. Preventive measures are the wearing of gloves for work which may easily lead to skin abrasions (f. i. gutting of fish) and total abstinence of raw seafood. As their occurrence is independent of the common indicator bacteria, A. sp. are to be included in hygienic monitoring programmes for any water.