[Vibrio cholerae NO-O1/NO-O139 bacteremia in a cirrhotic patient. First case report in Peru and literatura review]

Rev Gastroenterol Peru. 2018 Jul-Sep;38(3):301-305.
[Article in Spanish]

Abstract

Non-O1, non-O139 Vibrio cholerae (NOVC) strains are an uncommon cause of gastroenteritis. However, they have been recently associated with severe extraintestinal infections in immunocompromised hosts. Among them, bacteremia in cirrhotic patients is noteworthy. We present the case of a 58-year-old woman with cirrhosis that developed septic shock, multiple organ failure and died four days after admission. Blood cultures yielded Gram-negative rods identified as Vibrio cholerae. Further serogrouping by slide agglutination and a negative PCR for ctxA gen confirmed the strain to be NOVC. Antimicrobial susceptibility testing showed sensitivity to ampicillin, chloramphenicol, tetracycline and ciprofloxacin; and resistance to trimethoprim-sulfamethoxazole. To the best of our knowledge, this is first report in Peru, described in the Hospital Nacional Dos de Mayo, of NOVC bacteremia.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Bacteremia / epidemiology
  • Bacteremia / microbiology*
  • Cholera / complications
  • Cholera / epidemiology
  • Cholera / microbiology*
  • Disease Susceptibility
  • Drug Resistance, Multiple, Bacterial
  • Fatal Outcome
  • Female
  • Humans
  • Liver Cirrhosis / complications*
  • Middle Aged
  • Multiple Organ Failure / etiology
  • Peptic Ulcer Hemorrhage / complications
  • Peru / epidemiology
  • Serotyping
  • Shock, Septic / etiology
  • Vibrio cholerae O139 / isolation & purification*
  • Vibrio cholerae non-O1 / isolation & purification*