Non-O:l Vibrio cholerae Bacteremia: Case Report and Review

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Abstract
A caseof non-Oil Vibrio cholerae bacteremia and prostatic abscess in a patient with idiopathic aplastic anemia was studied, and the data were compared with those from 23 previously reported cases of non-Oil V. cholerae bacteremia. The case-fatality rate for the 13 cases for which the outcome is known is 61.5070. The majority of known cases have occurred in immunocompromised patients, particularly those with hematologic malignancyor cirrhosis. Host susceptibility is potentially important in this condition. Bacterial products such as a cholera-like toxin and El Tor hemolysin also may playa role in the disease process. The incidence of enteritis due to non-Oil V. cholerae is unclear because of the methods used for routine stool culture; however, the small number of reported isolates from blood is likely to reflect the infrequency of bacteremia, since Vibrio species are readily identifiable on sheep blood agar. While non-Oil V. cholerae is sensitive to most antibiotics in vitro, no data are available on antibiotic efficacy.

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