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非沿海地区获得性非O1/非O139霍乱弧菌菌血症继发肝脓肿：一例报告

Liver abscesses secondary to a non-O1/non-O139 Vibrio cholerae bacteremia acquired in a non-coastal area: a case report.

作者信息

Veenstra Coen, Kolader Marion, Matamoros Sébastien, Sigaloff Kim

机构信息

Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Department of Medical Microbiology and Infection Prevention, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Ann Clin Microbiol Antimicrob. 2024 Dec 20;23(1):109. doi: 10.1186/s12941-024-00764-6.

DOI:10.1186/s12941-024-00764-6
PMID:39707410
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662414/
Abstract

Non-O1/non-O139 Vibrio cholerae (NOVC) strains are a distinct group of Vibrio cholerae that do not cause epidemic cholera. NOVC infections usually cause mild forms of gastroenteritis, and rarely severe (extra)intestinal infections, mostly affecting immunocompromised patients. Here, we describe the clinical course of a patient with NOVC bacteremia causing multiple liver abscesses, after drinking from a freshwater well in a non-coastal area. This case highlights the potential of a V. cholerae strain, that is phylogenetically distinct from the current pandemic cholera strain, to cause severe extra-intestinal infections, including liver abscesses.

摘要

非O1/非O139霍乱弧菌（NOVC）菌株是霍乱弧菌的一个独特类别，不会引发霍乱流行。NOVC感染通常导致轻度肠胃炎，极少引发严重的（肠道外）感染，主要影响免疫功能低下的患者。在此，我们描述了一名患者的临床病程，该患者在非沿海地区饮用淡水井中的水后，发生了由NOVC菌血症导致的多发性肝脓肿。此病例凸显了一种在系统发育上与当前大流行霍乱菌株不同的霍乱弧菌菌株引发包括肝脓肿在内的严重肠道外感染的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/ae18ef3a5987/12941_2024_764_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/a0e892ec1536/12941_2024_764_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/c1cb693763db/12941_2024_764_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/af8d17f35bc1/12941_2024_764_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/ae18ef3a5987/12941_2024_764_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/a0e892ec1536/12941_2024_764_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/c1cb693763db/12941_2024_764_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/af8d17f35bc1/12941_2024_764_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efb3/11662414/ae18ef3a5987/12941_2024_764_Fig4_HTML.jpg

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本文引用的文献

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High Mortality With Non-O1/Non-O139 Bacteraemia in Patients With Cirrhosis.肝硬化患者非O1/非O139菌血症的高死亡率
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Diagnosis, Management, and Future Control of Cholera.霍乱的诊断、管理和未来控制。
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Characterization of Vibrio cholerae isolates from freshwater sources in northwest Ohio.俄亥俄州西北部淡水源分离的霍乱弧菌的特性研究。
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Global emergence of environmental non-O1/O139 Vibrio cholerae infections linked with climate change: a neglected research field?全球气候变化相关环境中非 O1/O139 霍乱弧菌感染的出现：一个被忽视的研究领域？
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