Ahmed Muzeer, Kazi Abdul Nafey, Sheikh Muhammad Ateeb, Adnan Fareeha, Herekar Fivzia Farooq
Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan.
Department of Microbiology, Indus Hospital and Health Network, Karachi, Pakistan.
Indian J Med Microbiol. 2024 Nov-Dec;52:100740. doi: 10.1016/j.ijmmb.2024.100740. Epub 2024 Oct 3.
Vibrio Cholera, a gram negative bacterium, is notoriously known to cause diarrheal epidemics. The serotypes O1 and O139 are mainly responsible for the diarrheal outbreaks due to the enterotoxin they produce. This enterotoxin however seems to be protective against bacteremia and hence bacteremia is rarely encountered. We report a case of an immune-competent young female who initially presented with hypokalemic periodic paralysis secondary to acute on chronic diarrhea. She was discharged after rehydration and bounced back in septic shock and her blood cultures grew Vibrio Cholera identified on Vitek. She succumbed to this organism within 24 hours of re-admission.
霍乱弧菌是一种革兰氏阴性菌，因引发腹泻流行而声名狼藉。血清型O1和O139主要因其产生的肠毒素而导致腹泻暴发。然而，这种肠毒素似乎对菌血症有保护作用，因此很少出现菌血症。我们报告一例免疫功能正常的年轻女性病例，她最初因慢性腹泻急性发作继发低钾性周期性麻痹。补液后出院，但又因感染性休克返回，血培养结果显示在Vitek上鉴定出霍乱弧菌。再次入院后24小时内，她死于这种病菌感染。
