Case ReportAcute infectious peritonitis caused by Vibrio fluvialis
Introduction
Vibrio fluvialis is a Gram-negative, oxidase-producing, halophilic bacterium normally found in coastal water and seafood. Clinically, it has been implicated mainly as a cause of gastroenteritis with diarrhea (Tacket et al., 1982). Until now, there have been only a few reports of isolation of V. fluvialis from extraintestinal sites such as hemorrhagic cellulitis with cerebritis, bacteremia, and peritonitis in a patient receiving continuous ambulatory peritoneal dialysis (CAPD) (Huang and Hsu, 2005, Ko et al., 1998, O'Hara et al., 2003). We describe a case of V. fluvialis peritonitis after a traffic accident that is, to our knowledge, the 1st report of non–CAPD-related acute peritonitis caused by this organism.
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Case report
A 52-year-old woman was admitted to our hospital via the emergency room with abdominal blunt injury from a traffic accident on a public road. On admission, vital signs were the blood pressure 60/20 mm Hg, pulse rate 74/min, breaths 24/min, and body temperature 36.5 °C. Physical examination revealed tenderness and rebound tenderness over the whole abdomen with a left hip laceration measuring about 8 cm. No specific medical or family histories were reported; in particular, she had no history of
Discussion
Twelve Vibrio spp. cause various diseases in susceptible humans, with different species being responsible for gastroenteritis, wound infections, and septicemia (Wongpaitoon et al., 1985, Levison and Bush, 2000).
Fast accurate identification of the species is important to ensure appropriate management. However, the correct identification of Vibrio spp. by commercial systems is sometimes problematic because no system includes all 12 clinical Vibrio spp. in its database (Morris, 2003, O'Hara, 2005
References (16)
- et al.
Group F, a new Vibrio
Lancet
(1977) - et al.
Severe watery diarrhoea and bacteraemia caused by Vibrio fluvialis
J. Infect.
(2006) - et al.
Vibrio gastroenteritis in the US Gulf of Mexico region: the role of raw oysters
Epidemiol. Infect.
(2000) - et al.
Vibrio fluvialis hemorrhagic cellulitis and cerebritis
Clin. Infect. Dis.
(2005) - et al.
Simultaneous isolation of Vibrio vulnificus and Vibrio parahaemolyticus in blood from a liver cirrhosis patient: importance of detection and identification of both species
Korean J. Lab. Med.
(2004) - et al.
Infections due to non-O1 Vibrio cholerae in southern Taiwan: predominance in cirrhotic patients
Clin. Infect. Dis.
(1998) - et al.
Taxonomy and description of Vibrio fluvialis sp. nov. (synonym group F vibrios, group EF6)
J. Appl. Bacteriol.
(1981) - et al.
Peritonitis and Other Intra-abdominal Infections