A Case of Skin and Soft Tissue InfectionCaused by Non-O1, Non-O139 Vibrio choleraein a Patient with Liver Cirrhosis
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Non-O1, non-O139 Vibrio cholerae는 위장관염 또는 균혈증을 발생시키고, 매우 드물게 피부 및 연부조직 감염을 일으킨다. Non-O1, non-O139 V. cholerae에 의한 피부 및 연부조직 감염 환자는 대부분 간경변증 또는 만성 간염을 가지고 있는 것으로 보고되고 있다. 저자들은 간견병증 환자에서 해산물을 섭취한 후 발생한, non-O1, non-O139 V. cholerae에 의한 피부 및 연부조직 감염의 증례를 보고하는 바이다. 환자의 경우 cefotaxime, doxycycline 등 항생제 투여와 괴사조직 제거술 후 회복되었다. 따라서 간경변증 환자에서 해산물 또는 바닷물에 노출된 후 발생한 피부 및 연부조직 감염의 경우 V. vulnificus에 의한 감염뿐만 아니라 non-O1, non-O139 V. cholerae에 의한 감염도 고려해야 한다.
Abstract
Non-O1, non-O139 Vibrio cholerae usually causes gastroenteritis and bacteremia. It can also cause skin and soft tissue infection but the incidence is very rare. Patients who have been reported to have skin and soft tissue infection caused by non-O1, non-O139 V. cholerae had liver cirrhosis or chronic hepatitis. We present here a case of skin and soft tissue infection caused by non-O1, non- O139 V. cholerae in a patient with liver cirrhosis in Korea. After treatment of cefotaxime, doxycycline and debridement, the wound was clinically improved. This case suggests that non-O1, non-O139 V. cholerae infection should also be considered in addition to V. vulnificus infection when skin and soft tissue infections occurs in patients with liver cirrhosis, especially if they have had seawater or seafood exposure.
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