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霍乱弧菌的非典型表现:恐水!

Atypical manifestation of Vibrio cholerae: fear the water!

作者信息

De Keukeleire Steven, Hoste Paul, Crivits Mies, Hammami Naïma, Piette Anne

机构信息

a Department of Laboratory Medicine , AZ Alma , Eeklo , Belgium.

b Department of Gastro Enterology , AZ Alma , Eeklo , Belgium.

出版信息

Acta Clin Belg. 2018 Dec;73(6):462-464. doi: 10.1080/17843286.2018.1483563. Epub 2018 Jun 19.

DOI:10.1080/17843286.2018.1483563
PMID:29916306
Abstract

BACKGROUND

In recent years, there has been an universal increase in number of reports of infections involving non-O1, non-O139 V. cholerae (NOVC). NOVC infection is only rarely complicated by septicaemia or invasive extra-intestinal infection.

CASE SUMMARY

We report the first documented case of NOVC bacteraemia in a Belgian immunocompetent male after ingestion of water when paddling in a creek.

CONCLUSION

Clinicians should include V. cholerae in their differential diagnosis in patients presenting with a self-limiting gastroenteritis after ingestion of raw and undercooked seafood or bathing in potentially contaminated recreational waters during warm summers.

摘要

背景

近年来,非O1、非O139霍乱弧菌(NOVC)感染的报告数量普遍增加。NOVC感染很少并发败血症或侵袭性肠外感染。

病例摘要

我们报告了首例有记录的比利时免疫功能正常男性在小溪中划船时饮水后发生NOVC菌血症的病例。

结论

对于在温暖的夏季食用生的和未煮熟的海鲜或在可能受污染的娱乐水域中沐浴后出现自限性胃肠炎的患者,临床医生在鉴别诊断时应考虑霍乱弧菌。

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