Atypical manifestation of Vibrio cholerae: fear the water!

Acta Clin Belg. 2018 Dec;73(6):462-464. doi: 10.1080/17843286.2018.1483563. Epub 2018 Jun 19.

Abstract

Background: In recent years, there has been an universal increase in number of reports of infections involving non-O1, non-O139 V. cholerae (NOVC). NOVC infection is only rarely complicated by septicaemia or invasive extra-intestinal infection.

Case summary: We report the first documented case of NOVC bacteraemia in a Belgian immunocompetent male after ingestion of water when paddling in a creek.

Conclusion: Clinicians should include V. cholerae in their differential diagnosis in patients presenting with a self-limiting gastroenteritis after ingestion of raw and undercooked seafood or bathing in potentially contaminated recreational waters during warm summers.

Keywords: Bacteraemia; MALDI- TOF: matrix-assisted laser desorption ionization time- -of-flight; NOVC; NOVC: non-O1, non-O139 V. cholerae; Vibrio cholerae; gastroenteritis; non-O1, non-O139 V. cholerae.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia*
  • Cholera*
  • Fresh Water / microbiology
  • Gastroenteritis*
  • Humans
  • Male
  • Middle Aged
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
  • Vibrio cholerae*
  • Water Sports

Substances

  • Anti-Bacterial Agents