Novel gas producing Vibrio cholerae: a case report of gastroenteritis with acute kidney injury

Abstract

Background Bacterial characterization is important in clinical and epidemiological studies. We herein report the first case of gas-producing Vibrio cholera gastroenteritis with acute kidney injury. Case presentation A 30-year-old female presented to the emergency department with complaints of about ten episodes of watery diarrhea, four episodes of vomiting and elevated serum urea/creatinine levels. Although the bacteria were first misidentified as Vibrio furnissii by gas production on carbohydrate fermentation and triple sugar iron agar, it was later confirmed as Vibrio cholerae by 16 S rRNA gene sequencing and specific PCR. The treatment regimen was followed as for Vibrio species with intravenous fluids, ciprofloxacin and doxycycline. The patient recovered without relapse. Conclusions Literature survey from the PubMed database shows no gas-producing Vibrio cholerae isolate being reported in the world. Further, genotype studies are warranted to look into the gas production of Vibrio cholerae .

Acute Kidney Injury Associated With Cholera

“…To prevent these complications, prompt and aggressive volume expansion by administration of intravenous fluids is recommended [6]. Few cases reports from different counties have been published highlighting acute kidney injury in cholera patients [7,8]. This is a case of a 20-year-old man with recent travel history from Bangladesh who presented to the emergency department with abdominal pain and multiple episodes of watery diarrhea.…”

“…To prevent these complications, prompt and aggressive volume expansion by administration of intravenous fluids is recommended [ 6 ]. Few cases reports from different counties have been published highlighting acute kidney injury in cholera patients [ 7 , 8 ].…”