A rare case of necrotizing fasciitis caused by Vibrio cholerae O8 in an immunocompetent patient.
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.
Dubrava University Hospital, Av. G. Šuška 6, 10000, Zagreb, Croatia. kdobrov@kbd.hr.
Karolina
K
Dobrović
Dubrava University Hospital, Av. G. Šuška 6, 10000, Zagreb, Croatia.
Franjo
F
Rudman
Istituto Zooprofilattico dell'Umbria e delle Marche, CEREM, Ancona, Italy.
Donatella
D
Ottaviani
Dubrava University Hospital, Av. G. Šuška 6, 10000, Zagreb, Croatia.
Sandra
S
Šestan Crnek
Istituto Zooprofilattico dell'Umbria e delle Marche, CEREM, Ancona, Italy.
Francesca
F
Leoni
Dubrava University Hospital, Av. G. Šuška 6, 10000, Zagreb, Croatia.
Jasenka
J
Škrlin
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002771:Cholera / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D003131:Combined Modality Therapy / Q000379:methods; D003646:Debridement / Q000379:methods; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D007121:Immunocompetence / Q000276:immunology; D008297:Male; D008875:Middle Aged; D035583:Rare Diseases / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology; D013045:Species Specificity; D016896:Treatment Outcome; D014734:Vibrio cholerae / Q000145:classification / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents
Antibiotics; Croatia; Lakes; Necrotizing fasciitis; V. cholerae non-O1 non-O139