Abstract:[Background] Aeromonas caviae is a widely distributed pathogen capable of infecting both humans and multiple animal species, posing significant threats to food safety and public health. [Objective] To investigate the pathogenic characteristics and antimicrobial resistance profile of swine-derived A. caviae, providing theoretical guidance for clinical prevention and control. [Methods] A dominant strain (designated HNHB) was isolated from the viscera of deceased piglets in a swine farm in Henan Province. The strain was identified by morphological observation, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS), and phylogenetic analysis based on the 16S rRNA gene. A Kunming mouse infection model was established to evaluate the pathogenicity of this strain based on the LD50 value and histopathological changes, and the minimal inhibitory concentrations (MICs) of 14 antimicrobial agents against this strain were determined. [Results] The isolate HNHB was identified as A. caviae, with the 16S rRNA gene sequence similarity of 99.73% compared with the reference A. caviae strain (GenBank accession number: AP026375). Infection trials revealed the LD50 of 6.24×108 CFU/mL in Kunming mice. HNHB induced severe multiorgan lesions, including intestinal necrosis, hemorrhage, epithelial shedding, hepatomegaly, and nephromegaly. Antimicrobial susceptibility test results demonstrated that HNHB was sensitive to five antimicrobials including ceftazidime (MIC=0.32 μg/mL) and polymyxin (MIC=0.01 μg/mL) but resistant to florfenicol (MIC=128 μg/mL) and meropenem (MIC=160 μg/mL). [Conclusion] A strain of A. caviae, designated HNHB, was successfully isolated and identified from the visceral organs of deceased pigs. The isolated strain demonstrated pathogenicity in Kunming mice and exhibited a multidrug-resistant phenotype.