Korean J Med.
2011 Mar;80(3):356-359.
Pyomyositis Caused by Non-O1 Vibrio Cholerae in a Patient with Liver Cirrhosis
- Affiliations
-
- 1Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea. karmacho@gmail.com
- 2Department of Laboratory Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea.
Abstract
- A 63-year-old man with underlying liver cirrhosis was admitted with painful swelling of the right thigh. We identified a non-O1 Vibrio cholerae strain in blood cultures and multiple pyomyositis in the lower limbs. Non-O1 V. cholerae strains have caused several well-studied food-borne outbreaks of gastroenteritis and have been responsible for sporadic cases of otitis media, skin and soft tissue infection, and bacteremia. Skin and soft tissue infection due to non-O1 V. cholerae is rare and is commonly associated with the presence of chronic underlying disease, such as liver cirrhosis, diabetes mellitus, an immunocompromised state, or a hematological malignancy. We report the first case of pyomyositis caused by non-O1 V. cholerae in Korea. Physicians should consider non-O1 V. cholerae strains as a pathogen that can cause pyomyositis.