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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.

Southern Medical Journal
|May 1, 1997
PubMed
Summary

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

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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.

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  • 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.