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Published on: May 30, 2013
Vibrio cholerae non-O1 facial cellulitis in a North Queensland, Australian child
R Norton1, M Vucak, H Stalewski
1Department of Clinical Microbiology, Townsville General Hospital, Queensland, Australia.
Abstract:
Vibrio cholerae is an uncommon cause of cellulitis in Australia. Most reported cases worldwide have involved marine or brackish water contact. A recognized risk factor for acquiring this infection is chronic liver disease secondary to hepatitis B. We describe a case of extensive facial cellulitis caused by Vibrio cholerae non-O1, non-0139, in an 11-year-old indigenous girl from North Queensland, Australia, who was hepatitis B surface antigen-negative. Treatment consisted of extensive debridement, antibiotics, hyperbaric oxygen and facial reconstructive surgery. Early microbiologic diagnosis and a combined therapeutic approach are important in the management of this condition.
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