Olson Michael T, Walia Tejus, Chandrashekaran Satish, Biswas Roy Sreeja, Arjuna Ashwini
University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Case Rep Transplant. 2022 Aug 26;2022:9008372. doi: 10.1155/2022/9008372. eCollection 2022.
Non-O1, non-O139 are rare strains that are generally nonpathogenic in immunocompetent hosts. However, this pathogen has been shown to cause gastroenteritis, wound infections, or bacteremia in immunocompromised patients and is associated with significant mortality in these hosts. Herein, we describe a case of hemorrhagic enterocolitis in a lung transplant recipient with an atypical presentation of non-O1, non-O139 and ongoing orthostasis. The patient reported recent seafood consumption and was managed appropriately with antibiotic therapy before necessitating esophagogastroduodenoscopy (EGD) for further objective testing.
非O1、非O139是罕见菌株，在免疫功能正常的宿主中通常无致病性。然而，这种病原体已被证明可在免疫功能低下的患者中引起肠胃炎、伤口感染或菌血症，并且在这些宿主中与显著的死亡率相关。在此，我们描述了一例肺移植受者发生出血性小肠结肠炎的病例，该病例表现为非O1、非O139的非典型症状且持续存在直立性低血压。患者报告近期食用过海鲜，在需要进行食管胃十二指肠镜检查（EGD）以进行进一步客观检测之前，接受了适当的抗生素治疗。
