Vibrio cholerae non-O1 facial cellulitis in a North Queensland, Australian child.
Vibrio cholerae is an uncommon cause of cellulitis in Australia. Most reported cases worldwide have involved marine or brackish water contact. A recognized risk factor for acquiring this infection is chronic liver disease secondary to hepatitis B. We describe a case of extensive facial cellulitis caused by Vibrio cholerae non-O1, non-0139, in an 11-year-old indigenous girl from North Queensland, Australia, who was hepatitis B surface antigen-negative. Treatment consisted of extensive debridement, antibiotics, hyperbaric oxygen and facial reconstructive surgery. Early microbiologic diagnosis and a combined therapeutic approach are important in the management of this condition.
Norton
R
R
Department of Clinical Microbiology, Townsville General Hospital, Queensland, Australia.
Vucak
M
M
Stalewski
H
H
D001315:Australia; D002481:Cellulitis / Q000209:etiology*; D002648:Child; D002771:Cholera / Q000150:complications*; D003131:Combined Modality Therapy; D005145:Face; D005260:Female; D006801:Humans; D011379:Prognosis; D014734:Vibrio cholerae / Q000302:isolation & purification*