Spontaneous non-O1Vibrio cholerae peritonitis after raw oyster ingestion in a patient with cirrhosis

Ramos, C. Rodríguez; Martos, P. García; Galán-Sánchez, Fátima; Cruz, M. J. Soria de la; Herrera, L. Martín

doi:10.1007/bf01709463

Cited by 2 publications

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“…This is usually seen in patients with diabetes mellitus, liver cirrhosis, and chronic renal failure on dialysis, hematological diseases, immunocompromised patients and post splenectomy [2, 6]. These infections are often associated with ingestion of contaminated seafood and associated with a high mortality rate [2, 6, 7, 11]. We report one unusual and rare case of bacteremia and primary peritonitis caused by O1 Vibrio cholera serotype Ojawa in a patient with liver cirrhosis.…”

Section: Introductionmentioning

confidence: 99%

A Case of O1 Vibrio Cholera Bacteremia and Primary Peritonitis in a Patient With Liver Cirrhosis

et al. 2009

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Vibrio cholerae are Gram-negative bacteria that are differentiated into O1/O139 and non-O1/non-O139 serogroups depending on their ability to agglutinate with specific antiserum. In contrast to non-O1/non-0139 Vibrio cholerae, which are more prone to invade the bloodstream, Vibrio cholerae O1 is rarely the cause of bacteremia. We report a case of O1 Vibrio cholera bacteremia and primary peritonitis in a patient with liver cirrhosis. The literature on the subject is also reviewed.

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Section: Introductionmentioning

confidence: 99%

A Case of O1 Vibrio Cholera Bacteremia and Primary Peritonitis in a Patient With Liver Cirrhosis

et al. 2009

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Non-O1/non-O139 Vibrio cholerae septicaemia in a Saudi man: a case report

et al. 2017

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Background. The non-O1/non-O139 serogroups of Vibrio cholerae occur in diverse natural niches, and usually cause mild and self-limiting gastrointestinal illness. However, they have well-documented potential to cause invasive and extra-intestinal infections among immunocompromised patients. Furthermore, their ability to grow in low-salinity surface water, and the existence of asymptomatic human carriers, suggest novel acquisition routes for this unusual infection, even in people without obvious risk factors.Case presentation. A 62-year-old man presented with epigastric pain, vomiting and fever. The patient had a history of diabetes and cholecystectomy, although our initial examination did not reveal any significant findings that might indicate V. cholerae infection. However, blood cultures subsequently revealed the presence of V. cholerae, which was positively identified using both conventional and modern non-conventional technologies. The identity of the V. cholerae isolate was confirmed using Vitek MS (matrix–assisted laser desorption ionization-time of flight MS) and the FilmArray system, in addition to its initial identification using the Vitek 2 system. The septicaemia was successfully treated using a 14 day course of ciprofloxacin.Conclusion. The present case highlights the need to remain highly suspicious of non-O1/non-O139 V. cholerae infections in patients with known risk factors, as well as in healthy individuals with epidemiological exposure and compatible clinical symptoms. Special care should be taken to avoid false-positive results from confirmatory laboratory tests, as the organism can grow in fresh water, and the results should be verified using multiple methods.

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Spontaneous non-O1Vibrio cholerae peritonitis after raw oyster ingestion in a patient with cirrhosis

Cited by 2 publications

References 6 publications

A Case of O1 Vibrio Cholera Bacteremia and Primary Peritonitis in a Patient With Liver Cirrhosis

A Case of O1 Vibrio Cholera Bacteremia and Primary Peritonitis in a Patient With Liver Cirrhosis

Non-O1/non-O139 Vibrio cholerae septicaemia in a Saudi man: a case report

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