A case of pyomyositis caused by Vibrio cholerae non-O1 in a patient with liver cirrhosis.
- Author:
Kyung Ju LEE
1
;
Kyung Hwa PARK
;
Hee Chang JANG
;
Seong Eun KIM
;
Mi Ok JANG
;
Sook In JUNG
;
Jong Hee SHIN
Author Information
1. Division of Infectious Disease, Chonnam National University Medical School, Gwangju, Korea. medkid@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Liver cirrhosis;
Pyomyositis;
Vibrio cholerae non-O1
- MeSH:
Bacteremia;
Cholera;
Gastroenteritis;
Humans;
Incidence;
Korea;
Liver;
Liver Cirrhosis;
Liver Diseases;
Pyomyositis;
Seafood;
Skin;
Skin Manifestations;
Soft Tissue Infections;
Staphylococcus aureus;
Vibrio;
Vibrio cholerae;
Vibrio cholerae non-O1
- From:Korean Journal of Medicine
2010;78(4):518-522
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Vibrio cholerae non-O1 mainly causes gastroenteritis and rarely causes extraintestinal infections, such as bacteremia. Skin and soft tissue infections are also possible, but the incidence rate is very low. Although the most common cause of pyomyositis is Staphylococcus aureus, Gram-negative organisms such as Vibrio species may also cause pyomyositis in patients with chronic liver disease. Pyomyositis caused by Vibrio cholerae non-O1 has not been reported in Korea. Here, we report a case of pyomyositis caused by V. cholerae non-O1 bacteremia in a patient with liver cirrhosis following seafood exposure. This case study suggests that V. cholerae, as well as V. vulnificus, should be considered when soft tissue infections occur in patients with liver cirrhosis after seafood exposure. In addition, physicians should consider imaging studies for a prompt diagnosis if the patient complains of severe pain disproportionate to the skin manifestation.
