A rare and unusual cause of Vibrio cholerae non-O1, non-O139 causing spontaneous peritonitis in a patient with cirrhosis

E A R Engku Nur Syafirah; N A Che Azmi; N H H Nik Hashim; A Muhd Besari; N Mustaffa; A Harun; Y Y Chan

doi:10.47665/tb.38.1.012

A rare and unusual cause of Vibrio cholerae non-O1, non-O139 causing spontaneous peritonitis in a patient with cirrhosis

Trop Biomed. 2021 Mar 1;38(1):183-186. doi: 10.47665/tb.38.1.012.

Authors

E A R Engku Nur Syafirah¹, N A Che Azmi¹, N H H Nik Hashim^{1

2}, A Muhd Besari^{3

2}, N Mustaffa^{3

2}, A Harun^{1

2}, Y Y Chan^{1

2}

Affiliations

¹ Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
² Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
³ Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.

PMID: 33797544
DOI: 10.47665/tb.38.1.012

Abstract

Spontaneous bacterial peritonitis caused by Vibrio cholerae non-O1/ non-O139 is a rare phenomenon. V. cholerae is known as a common aetiology of epidemic diarrheal disease and rarely causes extra-gastrointestinal infections. In this report, a 52-year-old man presented to our hospital with a clinical scenario for chronic liver cirrhosis with low grade fever and loose stools. V. cholerae was isolated from peritoneal fluid culture, which was further confirmed as non-O1/ non-O139 strain by multiplex polymerase chain reaction. The patient was successfully treated with antimicrobial therapy and peritoneal drainage. This case represents the first isolation of V. cholerae non-O1/ non-O139 strain from peritoneal fluid.

Publication types

Case Reports

MeSH terms

Cholera / complications
Cholera / microbiology*
Humans
Liver Cirrhosis / complications*
Male
Middle Aged
Peritonitis / microbiology*
Vibrio cholerae non-O1*