Author/Authors :
Malaiyan, Jeevan Department of Microbiology - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai, India , Balakrishnan, Anandan Department of Genetics - Dr. ALM Post Graduate Institute of Basic Medical Sciences - University of Madras, Taramani campus, Chennai 600113, India , Nasimuddin, Sowmya Department of Microbiology - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai, India , Mohan, Kamalraj Department of Microbiology - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai, India , MeenakshiSundaram, PradeepRaj Department of General Medicine - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai 600 069, India , Mamandur-Devarajan, Selvam Department of General Medicine - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai 600 069, India , Gnanadesikan, Sumathi Department of Microbiology - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai, India , Kandasamy, Mohanakrishnan Department of Microbiology - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai, India , Jayakumar, Nithyalakshmi Department of Microbiology - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai, India , Elumalai, Dhevahi Department of Microbiology - Sri Muthukumaran Medical College Hospital and Research Institute - Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai, India , G. Ra, Gokul Department of General Medicine - Sri Muthukumaran Medical College Hospital and Research Institute, Affiliated to The Tamil Nadu Dr. M.G.R. Medical University, Chikkarayapuram, Chennai 600 069, India
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 .
