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Vibrio cholerae non-O1 infection presenting as localized cellulitis
The American Journal of the Medical Sciences
|November 1, 1989
Summary
Vibrio cholerae non-O1 can cause severe cellulitis, particularly in individuals with liver disease. Prompt surgical debridement alongside antibiotics is crucial for effective treatment of this unusual extra-intestinal infection.
Area of Science:
- Infectious Diseases
- Microbiology
- Dermatology
Background:
- Vibrio cholerae non-O1 typically causes gastrointestinal infections.
- Extra-intestinal manifestations of Vibrio cholerae non-O1 are uncommon.
- Cellulitis is a bacterial skin infection that can be severe.
Observation:
- A patient presented with extensive cellulitis unresponsive to standard antibiotic treatment.
- Vibrio cholerae non-O1 was identified in a cutaneous bulla from the affected area.
- The patient had underlying severe hepatic cirrhosis.
Findings:
- The infection was successfully treated with surgical debridement and antibiotics.
- Despite severe cirrhosis, the infection remained localized to the skin without bacteremia.
- This case highlights an unusual presentation of Vibrio cholerae non-O1.
Implications:
- Vibrio cholerae non-O1 should be considered in the differential diagnosis of cellulitis, especially in endemic regions.
- Early recognition and appropriate management, including surgical intervention, are key for favorable outcomes.
- This case expands the understanding of Vibrio cholerae non-O1's pathogenic potential beyond gastrointestinal illness.