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Vibrio cholerae bacteremia associated with gastrectomy.

A Toeg1, S A Berger, A Battat

  • 1Department of Internal Medicine, Tel-Aviv Medical Center, Israel.

Journal of Clinical Microbiology
|March 1, 1990
PubMed
Summary

Bacteremia from Vibrio cholerae is uncommon, especially in healthy individuals. This case highlights a non-O1 Vibrio cholerae septicemia in a patient with a history of gastrectomy, suggesting altered susceptibility.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Bacteremia caused by Vibrio cholerae is a rare clinical occurrence.
  • Previous reports predominantly link Vibrio cholerae bacteremia to immunocompromised states.
  • Serogroup O1 Vibrio cholerae is the most common cause of cholera, but other serogroups can cause invasive disease.

Observation:

  • A case of non-serogroup O1 Vibrio cholerae septicemia is presented.
  • The patient was otherwise healthy, without known immune deficiency.
  • The patient had a history of gastrectomy for a duodenal ulcer.

Findings:

  • This report details a rare instance of Vibrio cholerae bacteremia in an immunocompetent host.
  • The infection was caused by a non-serogroup O1 strain of Vibrio cholerae.

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  • A prior gastrectomy may have predisposed the patient to this infection.

    • Implications:

    • This case expands the understanding of Vibrio cholerae as a potential pathogen in healthy individuals.
    • Altered gastrointestinal anatomy, such as post-gastrectomy status, may increase susceptibility to Vibrio cholerae bacteremia.
    • Further research is warranted to elucidate the mechanisms of susceptibility in non-immunocompromised hosts.