Abstract
We report a 70-year-old woman, who had recently consumed shellfish, that was admitted to the intensive care unit with septic shock and died 19 hours later due to a multi-organic failure. Microbiological, serological and molecular assays confirmed a hemolytic tdh+ Vibrio cholerae non-01, non 0139 as the etiologic agent.
Highlights
We report a 70-year-old woman, who had recently consumed shellfish, that was admitted to the intensive care unit with septic shock and died 19 hours later due to a multi-organic failure
Ella presentaba antecedentes de daño hepático alcohólico crónico, destacándose una ecotomografía previa que mostraba signos severos de esteatosis hepática sin signos de hipertensión portal
Este fenómeno se denomina de Kanagawa y es muy interesante, pues podría indicar que las hemolisinas presentes en este aislado presentan similitud con la denominada hemolisina directa termoestable (TDH), importante factor de virulencia de V. parahaemolyticus y responsable del fenómeno de Kanagawa
Summary
We report a 70-year-old woman, who had recently consumed shellfish, that was admitted to the intensive care unit with septic shock and died 19 hours later due to a multi-organic failure. Los factores de virulencia que expresan las cepas de V cholerae no-O1, no-O139 prácticamente se desconocen. En su gran mayoría estas cepas carecen de los principales factores de virulencia de V cholerae O1, tales como la toxina del cólera (CTX) y el pilus denominado TCP.
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