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Vibrio fluvialis: an underrecognized enteric pathogen in infants?

E A Kolb1, S C Eppes, J D Klein

  • 1Division of Infectious Diseases, Alfred I. duPont Institute, Wilmington, DE 19899, USA.

Insights

Vibrio fluvialis gastroenteritis can affect very young infants. This bacterium should be considered in infant gastroenteritis cases, even without clear risk factors.

Area of Science:

  • Microbiology
  • Pediatrics
  • Infectious Diseases

Background:

  • Gastroenteritis is a common illness in infants.
  • Vibrio species are known causes of gastroenteritis, typically associated with contaminated seafood or water exposure.
  • Infantile gastroenteritis often presents with non-specific symptoms, making etiological diagnosis challenging.

Observation:

  • A case of Vibrio fluvialis gastroenteritis in a 3 1/2-week-old infant is presented.
  • The infant case lacked typical epidemiologic risk factors associated with Vibrio infections.
  • This presentation is unusual given the typical exposure routes for Vibrio fluvialis.

Findings:

  • Vibrio fluvialis was identified as the causative agent of gastroenteritis in the infant.
  • The absence of common risk factors highlights a potential for unrecognized transmission routes or unique host susceptibility in neonates.
  • This case adds to a growing body of evidence suggesting V. fluvialis as a pathogen in young infants.

Implications:

  • Vibrio fluvialis should be included in the differential diagnosis for infantile gastroenteritis, particularly in neonates.
  • Further research is needed to understand the specific risk factors and transmission dynamics of V. fluvialis in this age group.
  • Early consideration of V. fluvialis may lead to more timely diagnosis and appropriate management of severe infant infections.

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