Non-O1 non-O139 Vibrio cholerae Bacteraemia and Peritonitis Associated with Chronic Liver Disease 296-298
Dr. Fahmi Yousef Khan. Senior Specialist, Department of Medicine, Hamad General Hospital/Doha, Qatar
A 53-year-old Bangladeshi male was admitted to the hospital with a 2-day history of watery diarrhoea associated with fever, vomiting and abdomen pain. The patient admitted that his symptoms started after he had eaten fish at a local restaurant. Past medical history was remarkable for liver cirrhosis due to hepatitis B virus. Clinical examination showed positive shifting dullness. Both samples of blood and ascitic fluid grew Vibrio cholerae non-O1 non-O139, which was sensitive to ampecillin, amoxil-clavulanic acid, ceftriaxone and co-trimoxazol. The results were confirmed by the reference laboratory (Bioscience â€“ Germany). Tazocin (piperacilline-tazobactam) was given for 10 days. On the following days, the patient recovered; diarrhoea and fever were subsided and consequently the patient was discharged.