J Korean Med Sci.  2006 Oct;21(5):944-945. 10.3346/jkms.2006.21.5.944.

Vibrio cholerae non-O1,non-O139 Isolated from Pleural Effusion Following Total Gastrectomy

Affiliations
  • 1Department of Laboratory Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. micro.lee@samsung.com
  • 2Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

We isolated non-O1, non-O139 Vibrio cholerae from pleural effusion in a patient with recurred advanced gastric caner after total gastrectomy. We also recovered the organism from the patient's stool culture. The patient did not experience gastrointestinal symptoms such as diarrhea except heartburn and epigastric discomfort from stomach cancer before admission. The suspected route of infection is directly from the gastrointestinal tract through the previous surgical wounds. After antibiotic treatment, no more V. cholerae was isolated and the patient was well discharged from the hospital. This is the first report of V. cholerae infection associated with pleural effusion in a long-term latent carrier of the organism.

Keyword

Vibrio cholerae; Pleural Effusion; Gastrectomy; Carrier State

MeSH Terms

Vibrio cholerae non-O1/*isolation & purification
Stomach Neoplasms/microbiology/surgery
Pleural Effusion/*microbiology
Middle Aged
Male
Humans
*Gastrectomy
Carrier State

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