Author(s): Wang K, Chao CH, Liu IM, Liu CY
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Abstract We reported a case of non-0:1 group Vibrio cholerae septicemia with myelodysplatic syndrome in Taiwan. We also reviewed the other 22 reported cases of non-0:1 Vibrion cholerae septicemia found in the literature regarding its pathogenesis and treatment. The case mortality rate of these 23 cases was 47.8\%. Most of them had immunocompromised diseases, particularly liver cirrhosis and hematologic malignancy. Therefore, the most important factor is the host defense. The cholera-like enterotoxin and E1-Tor-like hemolysin also play a major role, but whether the gall bladder plays a role in organ growth is still unclear. The incidence of gastroenteritis is not well understood because of the low incidence of non-0:1 V. cholerae gastroenteritis as compared with other factors such as shell-fish eating. Ampicillin as the sole antibiotic for non-0:1 V. cholerae is not efficacious. Tetracyclines or chloramphenicol is more effective for treatment.
This article was published in Zhonghua Yi Xue Za Zhi (Taipei)
and referenced in International Journal of Inflammation, Cancer and Integrative Therapy