A rare case of necrotizing fasciitis caused by Vibrio cholerae O8 in an immunocompetent patient

Wien Klin Wochenschr. 2016 Oct;128(19-20):728-730. doi: 10.1007/s00508-016-1060-3. Epub 2016 Sep 7.

Abstract

We report a case of necrotizing fasciitis of the leg caused by Vibrio cholerae O8 in a 63-year-old immunocompetent man after he had been fishing in a lake on a Croatian island. The strain was cytotoxic, invasive and adhesive and contained a fragment of the gene for El Tor-like hemolysin (El Tor hlyA). After surgical and antibiotic treatment, the patient fully recovered.

Keywords: Antibiotics; Croatia; Lakes; Necrotizing fasciitis; V. cholerae non-O1 non-O139.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cholera / complications
  • Cholera / diagnosis*
  • Cholera / microbiology*
  • Cholera / therapy
  • Combined Modality Therapy / methods
  • Debridement / methods
  • Diagnosis, Differential
  • Fasciitis, Necrotizing / diagnosis*
  • Fasciitis, Necrotizing / etiology
  • Fasciitis, Necrotizing / microbiology*
  • Fasciitis, Necrotizing / therapy
  • Humans
  • Immunocompetence / immunology
  • Male
  • Middle Aged
  • Rare Diseases / diagnosis
  • Rare Diseases / etiology
  • Rare Diseases / microbiology
  • Species Specificity
  • Treatment Outcome
  • Vibrio cholerae / classification
  • Vibrio cholerae / isolation & purification*

Substances

  • Anti-Bacterial Agents