Chronic otitis media following infection by non-O1/non-O139 Vibrio cholerae: A case report and review of the literature.

Sara M Van Bonn, Sebastian P Schraven, Tobias Schuldt, Markus M Heimesaat, Robert Mlynski, Philipp C Warnke
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引用次数: 3

Abstract

We report a case of a chronic mesotympanic otitis media with a smelly purulent secretion from both ears and recurrent otalgia over the last five years in a six-year-old girl after swimming in the German Baltic Sea. Besides Staphylococcus aureus a non-O1/non-O139 Vibrio cholerae strain could be isolated from patient samples. An antibiotic therapy with ciprofloxacin and ceftriaxone was administered followed by atticotomy combined with tympanoplasty. We conclude that V. cholerae should not be overlooked as a differential diagnosis to otitis infections, especially when patients present with extra-intestinal infections after contact with brackish- or saltwater aquatic environments.

Abstract Image

Abstract Image

非o1 /非o139型霍乱弧菌感染后的慢性中耳炎:1例报告及文献回顾
我们报告一例慢性中耳炎与恶臭化脓性分泌物从双耳和耳痛复发在过去的五年在德国波罗的海游泳后的六岁女孩。除金黄色葡萄球菌外,还可从患者标本中分离出非o1 /非o139型霍乱弧菌菌株。给予环丙沙星和头孢曲松抗生素治疗,然后进行心房切除术联合鼓室成形术。我们得出结论,霍乱弧菌作为中耳炎感染的鉴别诊断不应被忽视,特别是当患者在接触咸淡水或咸水后出现肠外感染时。
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