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Cholera-like presentation in Vibrio fluvialis enteritis.
David R Allton1, Michael A Forgione, Sheila P Gros
1Department of Internal Medicine, Keesler Medical Center, Keesler Air Force Base, Biloxi, MS, USA. David.Allton@keesler.af.mil
Southern Medical Journal
|July 27, 2006
Summary
A patient experienced severe, cholera-like diarrhea after consuming shellfish. Vibrio fluvialis was identified as the cause, and symptoms resolved quickly with antibiotic treatment.
Area of Science:
- Infectious Diseases
- Microbiology
- Gastroenterology
Background:
- Vibrio species are known causes of gastroenteritis, often associated with seafood consumption.
- Vibrio fluvialis is a less common pathogen compared to other Vibrio species.
- Cholera-like symptoms can be caused by various enteric pathogens.
Observation:
- A patient presented with severe diarrhea and metabolic acidosis resembling cholera.
- The illness onset occurred seven days after consuming shellfish from the Gulf Coast.
- Stool culture exclusively identified Vibrio fluvialis.
Findings:
- Antibiotic therapy led to rapid resolution of diarrhea and acidosis within 24 hours.
- This case represents a detailed report of Vibrio fluvialis causing cholera-like illness.
- The specific Vibrio species was confirmed using TCBS agar.
Implications:
- Highlights Vibrio fluvialis as a potential cause of severe diarrheal disease.
- Emphasizes the importance of considering Vibrio species in seafood-associated gastroenteritis.
- Suggests prompt antibiotic treatment is effective for Vibrio fluvialis infections.