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Pyomyositis Caused by Non-O1 Vibrio Cholerae in a Patient with Liver Cirrhosis  

Park, Sung-Keun (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science)
Lee, Ji-Won (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science)
Kim, Jin-Yong (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science)
Park, Yoon-Soo (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science)
Seo, Yiel-Hae (Department of Laboratory Medicine, Gil Hospital, Gachon University of Medicine and Science)
Cho, Yong-Kyun (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science)
Publication Information
The Korean Journal of Medicine / v.80, no.3, 2011 , pp. 356-359 More about this Journal
Abstract
A 63-year-old man with underlying liver cirrhosis was admitted with painful swelling of the right thigh. We identified a non-O1 Vibrio cholerae strain in blood cultures and multiple pyomyositis in the lower limbs. Non-O1 V. cholerae strains have caused several well-studied food-borne outbreaks of gastroenteritis and have been responsible for sporadic cases of otitis media, skin and soft tissue infection, and bacteremia. Skin and soft tissue infection due to non-O1 V. cholerae is rare and is commonly associated with the presence of chronic underlying disease, such as liver cirrhosis, diabetes mellitus, an immunocompromised state, or a hematological malignancy. We report the first case of pyomyositis caused by non-O1 V. cholerae in Korea. Physicians should consider non-O1 V. cholerae strains as a pathogen that can cause pyomyositis.
Keywords
Vibrio cholerae non-O1; Pyomyositis; Liver cirrhosis;
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