Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

01.02.2016 | case report | Ausgabe 3-4/2016 Open Access

Wiener klinische Wochenschrift 3-4/2016

Necrotizing fasciitis due to Vibrio cholerae non-O1/non-O139 after exposure to Austrian bathing sites

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 3-4/2016
Autoren:
MD Sonja Hirk, MD Steliana Huhulescu, MD, MPH Univ. Prof. Franz Allerberger, BSc Sarah Lepuschitz, Sonja Rehak, Sandra Weil, MD Elisabeth Gschwandtner, MD Michael Hermann, MD Stephanie Neuhold, MD Alexander Zoufaly, MD Alexander Indra

Summary

We report on two cases of necrotizing fasciitis of the lower leg due to nontoxigenic Vibrio cholerae (V. cholerae). A 73-year-old woman (case 1) and an 80-year-old man (case 2) were hospitalized with symptoms of necrotizing fasciitis on July 18 and August 15, 2015, respectively. In both cases, symptoms started the day after swimming in local ponds. Swabs gained intraoperatively and a blood culture from the male patient, yielded V. cholerae non-O1/non-O139, negative for cholera toxin gene ctx and positive for hemolysin genes hlyA and hlyB. Water samples taken from pond A on August 17, 2015 (32 days after exposure of case 1) and from pond B on August 20, 2015 (7 days after exposure of case 2) yielded non-O1/non-O139 V. cholerae in most-probable numbers of > 11,000 per 100 ml each. The occurrence of two cases of necrotizing fasciitis within a 1 month period related to two Austrian non-saline bathing waters, previously not known to harbor V. cholerae, is probably linked to the prevailing extreme weather conditions (heat wave, drought) this summer in Austria. While case 1 was discharged in good clinical condition after 73 days, case 2 died after four months of hospitalization. Public health authorities are challenged to assess the effects of long-term climate change on pathogen growth and survival in continental bodies of fresh water.
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 3-4/2016

Wiener klinische Wochenschrift 3-4/2016 Zur Ausgabe

mitteilungen der gesellschaft der ärzte in wien

Veranstaltungen