Vibrio metschnikovii, a rare cause of wound infection.
Abstract: We report the first case of a postoperative wound infection caused by Vibrio metschnikovii on the lower right leg of a patient after saphenectomy. Compared to the healing of an uninfected site, that of the right leg was delayed, and a cure was achieved by intensified wound care. Several swabs taken from the infected site grew a gram-negative rod in pure culture that was identified as V. metschnikovii by the VITEK 2 system. The source of the infection was not detected; however, the absence of putative risk factors (exposure to water or shellfish or an episode of diarrhea), the profession of the patient (butcher), and the isolation of V. metschnikovii in a variety of farm animals (chicken, cattle, swine, and horses) suggest that infections caused by V. metschnikovii may be regarded as zoonotic.
Publication Date: 2004-10-09 PubMed ID: 15472380PubMed Central: PMC522296DOI: 10.1128/JCM.42.10.4909-4911.2004Google Scholar: Lookup
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Summary
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The research article discusses a unique case of a wound infection caused by a bacterium called Vibrio metschnikovii, the source of which could not be detected but is suggested to be zoonotic in nature, meaning originating from an animal.
Research Context
- The research was prompted by a unique case of a postoperative wound infection that occurred on a patient’s lower right leg post saphenectomy (a surgical procedure to remove a varicose vein).
- This infection was unique because it was caused by Vibrio metschnikovii, a rare type of bacterium that is not typically considered a common cause of wound infections, making this the first reported instance.
Findings
- The infected wound showed delayed healing as compared to an uninfected wound. After intensified care, the patient was then cured.
- The bacterium was identified as Vibrio metschnikovii, through the VITEK 2 system, an automated microbiology system used for bacterial identification and antibiotic susceptibility testing.
Probable Source of Infection and Suggested Nature
- The researchers were unsuccessful in identifying the exact source of the Vibrio metschnikovii infection as the usual risk factors such as exposure to water or shellfish or an episode of diarrhea were absent.
- The patient’s occupation as a butcher was noted, as this implied contact with various farm animals like chicken, cattle, swine, and horses. Vibrio metschnikovii has been found in a variety of these farm animals suggesting the possibility that this type of infection could be zoonotic (originating from an animal).
Implications
- This case could be indicative of possible risks that are present in certain occupations where there is a higher exposure to potential zoonotic pathogens.
- Further research is required to understand more about these rare types of bacteria and their capacity to cause human infections, and how best to prevent and treat such infections.
Cite This Article
APA
Linde HJ, Kobuch R, Jayasinghe S, Reischl U, Lehn N, Kaulfuss S, Beutin L.
(2004).
Vibrio metschnikovii, a rare cause of wound infection.
J Clin Microbiol, 42(10), 4909-4911.
https://doi.org/10.1128/JCM.42.10.4909-4911.2004 Publication
Researcher Affiliations
- Institute for Medical Microbiology and Hygiene, University of Regensburg, Regensburg, Germany. hans-joerg.linde@klinik.uni-regensburg.de
MeSH Terms
- Animals
- Chlorocebus aethiops
- Humans
- Male
- Middle Aged
- Surgical Wound Infection / microbiology
- Vero Cells
- Vibrio / classification
- Vibrio / isolation & purification
- Vibrio / pathogenicity
- Vibrio Infections / microbiology
References
This article includes 20 references
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