Severe septic shock and cardiac arrest in a patient with Vibrio metschnikovii: a case report

Journal of Medical Case Reports

Marlene Ersgaard Jellinge¹  Joakim Jensen² 

[1] Department of Anesthesiology, Sydvestjysk Sygehus Esbjerg (Southwest Jutland Hospital), Finsensgade 35, DK-6700 Esbjerg, Denmark;Department of Orthopedic Surgery, Sydvestjysk Sygehus Esbjerg (Southwest Jutland Hospital, Finsensgade 35, DK-6700 Esbjerg, Denmark

关键词: Vibrio;    Severe sepsis;    Rare condition;    Intensive care;   

Others  :  1181005
DOI  :  10.1186/1752-1947-8-348

 received in 2014-06-14, accepted in 2014-09-01,  发布年份 2014

【 摘 要 】

Introduction

Vibrio metschnikovii is a very rare species and can be fatal to patients with massive comorbidity. Until now only eight other cases have been reported.

Case presentation

This case report describes a 78-year-old Danish man who presented with fever, hypotension and unconsciousness and he developed cardiac arrest. Vibrio metschnikovii was identified in all his blood samples and effective antibiotics were initiated.

Conclusions

The human sources are believed to include shrimps, birds, water, sewage and seafood. We report the first case of Vibrio metschnikovii from a Nordic country and the report shows that even though isolation of Vibrio metschnikovii from human clinical samples is very rare, it still infects humans and may be fatal, despite sufficient treatment.

【 授权许可】

   
2014 Jensen and Jellinge; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Farmer JJ III, Hickman-Brenner FW, Fanning GR, Gordon CM, Brenner DJ: Characterization of Vibrio metschnikovii and Vibrio gazogenes by DNA-DNA hybridization and phenotype. J Clin Microbiol 1988, 26(10):1993.
• [2]Jean-Jacques W, Rajashekaraiah KR, Farmer JJ III, Hickman FW, Glenn Morris J, Kallick CA: Vibrio metschnikovii bacteremia in a patient with cholecystitis. J Clin Microbiol 1981, 14(6):711-712.
• [3]Miyake M, Honda T, Miwatani T: Purification of Vibrio metschnikovii cytolysin. Infect Imun 1988, 56(4):954.
• [4]Linde H, Kobuch R, Jayasinghe S, Reischl U, Lehn N, Kaulfuss S, Beutin L: Vibrio metschnikovii, a rare cause of wound infection. J Clin Microbiol 2004, 42(10):4909-4911.
• [5]Wallet F, Tachon M, Nseir S, Courcol RJ, Roussel-Delvallez M: Vibrio metschnikovii pneumonia. Emerg Infect Dis 2005, 11(10):1641-1642.
• [6]Martìn MP, Garaizábal EE, Sánchez PJL, Sánchez MDC: Vibrio metschnikovii from a human infected leg ulcer. Rev Inst Med Trop S Paulo 2008, 50(5):311-312.
• [7]Hansen W, Freney J, Benyagoub H, Letouzey MN, Gigi J, Wauters G: Severe human infections caused by Vibrio metschnikovii. J Clin Microbiol 1993, 31(9):2529.
• [8]Hardardottir H, Vikenes K, Digranes A, Lassen J, Halstensen A: Mixed bacteremia in an 83- year-old female patient. Scand J Infect Dis 1994, 26(4):493-494.
• [9]Prasad R, Kharidehal N: Vibrio metschnikovii sepsis in a neonate. Internet J Pediat Neonatol 2006., 6(1)