The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Pyomyositis Caused by Non-O1 Vibrio Cholerae in a Patient with Liver Cirrhosis

간경화 환자에서 Non-O1 Vibrio cholerae에 의한 고름근육염 1예

  • Park, Sung-Keun (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Lee, Ji-Won (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Jin-Yong (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Park, Yoon-Soo (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Seo, Yiel-Hae (Department of Laboratory Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Cho, Yong-Kyun (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science)
  • 박성근 (가천의과학대학교 길병원 내과) ;
  • 이지원 (가천의과학대학교 길병원 내과) ;
  • 김진용 (가천의과학대학교 길병원 내과) ;
  • 박윤수 (가천의과학대학교 길병원 내과) ;
  • 서일혜 (가천의과학대학교 길병원 진단검사의학과) ;
  • 조용균 (가천의과학대학교 길병원 내과)
  • Published : 2011.03.01
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Abstract

A 63-year-old man with underlying liver cirrhosis was admitted with painful swelling of the right thigh. We identified a non-O1 Vibrio cholerae strain in blood cultures and multiple pyomyositis in the lower limbs. Non-O1 V. cholerae strains have caused several well-studied food-borne outbreaks of gastroenteritis and have been responsible for sporadic cases of otitis media, skin and soft tissue infection, and bacteremia. Skin and soft tissue infection due to non-O1 V. cholerae is rare and is commonly associated with the presence of chronic underlying disease, such as liver cirrhosis, diabetes mellitus, an immunocompromised state, or a hematological malignancy. We report the first case of pyomyositis caused by non-O1 V. cholerae in Korea. Physicians should consider non-O1 V. cholerae strains as a pathogen that can cause pyomyositis.

본 증례는 간경화 환자에서 non-O1 V. cholerae에 의한 고름근육염이 발생한 국내 첫 예이다. 이러한 기저 질환이 있는 환자에서 고름근육염의 원인균으로 non-O1 V. cholerae도 고려하여야 한다.

Keywords

References

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