Spontaneous small bowel perforation secondary to Vibrio parahaemolyticus infection: A case report

Shih-Chun Chien1, Chih-Chung Chang2, Shih-Chao Chien3

  • 1Department of Emergency Medicine, Mackay Memorial Hospital, Taipei 104, Taiwan.

Abstract

Insights

Vibrio parahaemolyticus gastroenteritis can cause severe complications. This case report details the first instance of small bowel perforation due to this infection.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Vibrio parahaemolyticus is a significant bacterial pathogen.
  • It commonly causes gastroenteritis with varying severity.
  • Potential for pandemic spread in Asia exists.

Observation:

  • A 71-year-old female presented with acute abdominal tenderness, vomiting, and diarrhea.
  • Computed tomography revealed a small bowel perforation.
  • Ascites culture confirmed Vibrio parahaemolyticus infection.

Findings:

  • This is the first reported case of Vibrio parahaemolyticus-induced gastroenteritis leading to small bowel perforation.
  • The case highlights a rare but severe complication of V. parahaemolyticus infection.

Implications:

  • Clinicians should consider V. parahaemolyticus in severe gastroenteritis cases with abdominal complications.
  • Early diagnosis and intervention are crucial for managing such rare presentations.
  • Further research into V. parahaemolyticus pathogenesis is warranted.

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