Chen Ping-Jen, Tseng Chi-Chou, Chan Huan-Tee, Chao Chien-Ming
Department of Surgery, Chi Mei Medical Center, 201, Taikang Village, Liouying, Township, Tainan 736, Taiwan.
Case Rep Emerg Med. 2012;2012:838904. doi: 10.1155/2012/838904. Epub 2012 Jun 17.
A 40-year-old female presented with purulent exudate through the left auditive duct and pain in the left ear region, which intensified during mastication. After collection of the pus from the left ear lesion, amoxicillin-clavulanic acid for seven days was prescribed for a presumed diagnosis of acute otitis. Four days later, the pus culture grew V. fluvialis which is further identified by API 20E identification system (bioMérieux). Following the successful completion of a course of antibiotics, the patient recovered completely and without complication. To the best of our knowledge, this is the first case of Vibrio fluvialis otitis after swimming in an immunocompetent patient.
一名40岁女性出现左侧耳道脓性渗出物及左耳区疼痛，咀嚼时疼痛加剧。从左耳病变处采集脓液后，因推测为急性中耳炎，给予阿莫西林-克拉维酸治疗7天。4天后，脓液培养长出河流弧菌，通过API 20E鉴定系统（生物梅里埃公司）进一步鉴定。在成功完成一个疗程的抗生素治疗后，患者完全康复且无并发症。据我们所知，这是首例免疫功能正常患者游泳后发生河流弧菌性中耳炎的病例。
