A Case of Vibrio cholerae non O1/ non O139 Septicemia in Surin Province, 2017

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ชูหงส์ มหรรทัศนพงศ์

Abstract

Abstract


A 40-year-old female who was admitted at Surin hospital died due to Vibrio cholerae non O1/non O139 bacteremia. This case was reported to the SRRT team on April 14, 2016. The investigation process was started by using a case-by-case investigation during April 11-22, 2017. We applied the descriptive epidemiology study. All contact cases were interviewed. The objective of the study was to confirm the diagnosis, outbreak investigation, and control. The medical records of the patient were reviewed. Contact case investigation of three household members were carried out by using rectal swab culture and was reported as negative. Pathogenic food samples cultures were also negative for Vibrio cholerae including samples from kitchenware and drinking water. This patient neither had a history of traveling nor had been in contact with any patients who had been suffering from diarrhea. The possible cause of death of this patient was deterioration of liver cirrhosis and multiple organ dysfunction. The SRRT team monitored all diarrhea cases for two incubation periods and found no new case of Vibrio cholerae diarrhea or bacteremia. The data from 2012 to 2017 has been reviewed and showed that no cases of Vibrio cholerae had been reported in Surin Province.    


Key word: Vibrio cholerae non O1/non O139; Septicemia; Cirrhosis

Article Details

Section
Case Report

References

1. Ko WC, Chuang YC, Huang GC, Hsu SY. Infections due to non-O1Vibrio choleraein southern Taiwan: predominance in cirrhotic patients. Clin Infect Dis 1998; 27: 774-80.
2. Lin CJ, Chiu CT, Lin DY, Sheen IS, Lien JM. Non-O1 Vibriocholeraebacteremia in patients with cirrhosis:5-yr experience from asingle medical center. Am J Gastroenterol 1996; 91: 336-40.
3. Halabi M, Haditsch M, Renner F, Brinninger G, Mittermayer H. Vibrio cholera non-O1 septicemia in a patient with liver cirrhosis and Billroth-II gastrectomy. J Infect 1997; 34: 83-4.
4. Cheng NC, Tsai JL, Kuo YS, Hsueh PR. Bacteremic necrotizing fasciitis caused by Vibrio cholera serogroup O56 in a patient withliver cirrhosis. J Formos Med Assoc 2004;103: 935-8.
5. Chang-ChienCH. Bacteremic necrotizing fasciitis with compartment syndrome caused by non-O1 Vibrio cholerae.J Plast Reconstr Aesthet Surg 2006; 59: 1381-4.
6. Restropo D, Huprikar SS, VanHorn K, Bottone EJ. O1 and non-O1 Vibrio choleraebacteremia produced by hemolytic strains. Diagn Microbiol Infect Dis 2006; 54: 145-8.
7. Suankratay C, Phantumchinda K, Tachawiboonsak W, Wlide H. Non-serogroup O:1 Vibrio cholera bacteremia and cerebritis. Clin InfectDis 2001; 32: E117-9.
8. Choi SM, Lee DG, Kim MS, Park YH, Kim YJ, Lee S, et al. Bacteremic cellulitis caused by non-O1, non-O139 Vibrio cholerae in a patient following hematopoietic stem cell transplantation. Bone Marrow Transplant 2003; 31: 1181-2.
9. Khamsang k, Chowanaprecha P, Jungmelap N. Investigated in 2 Cases Hemoculture Positive for Vibrio cholerae non–O1, Uttaradit, 2007-2008. Weekly Epidemiological Surveillance Report 2008;39(25): 435-8.