Chien SC, Chang CC, Chien SC. Spontaneous small bowel perforation secondary to Vibrio parahaemolyticus infection: A case report . World J Clin Cases 2021; 9(5): 1210-1214 [PMID: 33644186 DOI: 10.12998/wjcc.v9.i5.1210]
Corresponding Author of This Article
Shih-Chao Chien, MD, Staff Physician, Department of Emergency Medicine, Mackay Memorial Hospital, No. 92 Sec. 2 Zhongshan N. Rd, Zhongshan District, Taipei 104, Taiwan. phantom859958@gmail.com
Research Domain of This Article
Infectious Diseases
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shih-Chun Chien, Shih-Chao Chien, Department of Emergency Medicine, Mackay Memorial Hospital, Taipei 104, Taiwan
Chih-Chung Chang, Department of Emergency Medicine, Taitung Mackay Memorial Hospital, Taitung 950, Taiwan
Author contributions: Chien SC was responsible for the concept and design of the study and critical revision of the manuscript for important intellectual content; Chien SC and Chang CC drafted the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shih-Chao Chien, MD, Staff Physician, Department of Emergency Medicine, Mackay Memorial Hospital, No. 92 Sec. 2 Zhongshan N. Rd, Zhongshan District, Taipei 104, Taiwan. phantom859958@gmail.com
Received: November 17, 2020 Peer-review started: November 17, 2020 First decision: December 8, 2020 Revised: December 21, 2020 Accepted: January 7, 2021 Article in press: January 7, 2021 Published online: February 16, 2021
Abstract
BACKGROUND
Vibrio pararhaemolyticus (V. parahaemolyticus), a pathogen that commonly causes gastroenteritis, could potentially lead to a pandemic in Asia. Its pathogenesis and molecular mechanisms vary, and the severity of illness can be diverse, ranging from mild gastroenteritis, requiring only supportive care, to sepsis.
CASE SUMMARY
We outline a case of a 71-year-old female who experienced an acute onset of severe abdominal tenderness after two days of vomiting and diarrhea prior to her emergency department visit. A small bowel perforation was diagnosed using computed tomography. The ascites cultured revealed infection due to V. parahaemolyticus
CONCLUSION
Our case is the first reported case of V. parahaemolyticus-induced gastroenteritis resulting in small bowel perforation.
Core Tip: Vibrio parahaemolyticus is a pathogen commonly associated with gastroenteritis following the consumption of seafood. Aside from supportive treatment with hydration and oral antibiotics, clinicians must be aware of the possible complication of acute abdomen which may require surgical intervention.
