Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis Patient

Over 200 different serogroups of Vibrio cholerae based on O-polysaccharide specificity have been described worldwide, including the two most important serogroups, O1 and O139. Non-O1/non-O139 V. cholerae serogroups generally do not produce the cholera-causing toxin but do sporadically cause gastroen...

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Main Authors: Cheng-Jing Gu, Ming-Dong Ding, Da-Ming Zhou, Jie Li, Wen-Qing Yu, Yong-Lin Yang
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2024/7219952
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author Cheng-Jing Gu
Ming-Dong Ding
Da-Ming Zhou
Jie Li
Wen-Qing Yu
Yong-Lin Yang
author_facet Cheng-Jing Gu
Ming-Dong Ding
Da-Ming Zhou
Jie Li
Wen-Qing Yu
Yong-Lin Yang
author_sort Cheng-Jing Gu
collection DOAJ
description Over 200 different serogroups of Vibrio cholerae based on O-polysaccharide specificity have been described worldwide, including the two most important serogroups, O1 and O139. Non-O1/non-O139 V. cholerae serogroups generally do not produce the cholera-causing toxin but do sporadically cause gastroenteritis and extra-intestinal infections. Recently, however, bloodstream infections caused by non-O1/non-O139 V. cholerae are being increasingly reported, and these infections are associated with high mortality in immunocompromised hosts. We describe a case of non-O1/non-O139 V. cholerae bacteremia in a patient with autoimmune pancreatitis and stenosis of the intra- and extrahepatic bile ducts. The clinical manifestations of bacteremia were fever and mild digestive symptoms. The blood cultures showed V. cholerae, which was identified as a non-O1, non-O139 serogroup by slide agglutination tests and PCR. The bloodstream infection of the patient was likely caused by the consumption of contaminated seafood at a banquet. The patient recovered after the administration of a third-generation cephalosporin. Non-O1/non-O139 V. cholerae infection presents with or without gastrointestinal manifestations; close attention should be paid to the possibility of disseminated non-O1/non-O139 V. cholerae infection in high-risk patients.
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spelling doaj-art-f4cc24908f364ba5b59cc3e0c1c37e162025-02-03T05:54:35ZengWileyCase Reports in Infectious Diseases2090-66332024-01-01202410.1155/2024/7219952Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis PatientCheng-Jing Gu0Ming-Dong Ding1Da-Ming Zhou2Jie Li3Wen-Qing Yu4Yong-Lin Yang5Department of PharmacyDepartment of Infectious DiseasesDepartment of Infectious DiseasesDepartment of GastroenterologyDepartment of Infectious DiseasesDepartment of Infectious DiseasesOver 200 different serogroups of Vibrio cholerae based on O-polysaccharide specificity have been described worldwide, including the two most important serogroups, O1 and O139. Non-O1/non-O139 V. cholerae serogroups generally do not produce the cholera-causing toxin but do sporadically cause gastroenteritis and extra-intestinal infections. Recently, however, bloodstream infections caused by non-O1/non-O139 V. cholerae are being increasingly reported, and these infections are associated with high mortality in immunocompromised hosts. We describe a case of non-O1/non-O139 V. cholerae bacteremia in a patient with autoimmune pancreatitis and stenosis of the intra- and extrahepatic bile ducts. The clinical manifestations of bacteremia were fever and mild digestive symptoms. The blood cultures showed V. cholerae, which was identified as a non-O1, non-O139 serogroup by slide agglutination tests and PCR. The bloodstream infection of the patient was likely caused by the consumption of contaminated seafood at a banquet. The patient recovered after the administration of a third-generation cephalosporin. Non-O1/non-O139 V. cholerae infection presents with or without gastrointestinal manifestations; close attention should be paid to the possibility of disseminated non-O1/non-O139 V. cholerae infection in high-risk patients.http://dx.doi.org/10.1155/2024/7219952
spellingShingle Cheng-Jing Gu
Ming-Dong Ding
Da-Ming Zhou
Jie Li
Wen-Qing Yu
Yong-Lin Yang
Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis Patient
Case Reports in Infectious Diseases
title Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis Patient
title_full Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis Patient
title_fullStr Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis Patient
title_full_unstemmed Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis Patient
title_short Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis Patient
title_sort non o1 non o139 vibrio cholerae bacteremia in an autoimmune pancreatitis patient
url http://dx.doi.org/10.1155/2024/7219952
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