Korean J Med.
2010 Apr;78(4):518-522.
A case of pyomyositis caused by Vibrio cholerae non-O1 in a patient with liver cirrhosis
- Affiliations
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- 1Division of Infectious Disease, Chonnam National University Medical School, Gwangju, Korea. medkid@dreamwiz.com
- 2Department of Laboratory Medicine, Chonnam National University Medical School, Gwangju, Korea.
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.
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