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Case Reports
. 2013 Sep;23(5):378-80.
doi: 10.4103/0971-4065.116329.

Non-O1, non-O139 Vibrio cholerae sepsis in a patient with nephrotic syndrome

Affiliations
Case Reports

Non-O1, non-O139 Vibrio cholerae sepsis in a patient with nephrotic syndrome

N George et al. Indian J Nephrol. 2013 Sep.

Abstract

Non-O1, non-O139 Vibrio cholerae is an encapsulated bacterium, ubiquitous in the marine environment and generally considered to be non-pathogenic. However, it is known to cause diarrheal illness, wound infection, and bacteremia in immunocompromised hosts. Here we have describe non-O1, non-O139 V. cholerae sepsis in a patient with nephrotic syndrome following exposure to sea-water. Interestingly, the exposure occurred remotely 4 months prior to the onset of nephrotic syndrome. The occurrence of florid sepsis after a prolonged interval from the time of exposure is peculiar and raises the possibility of an association between occult Vibrio sepsis and nephrotic syndrome.

Keywords: Immunocompromised; nephrotic syndrome; non-O1; non-O139; sepsis; vibrio cholera.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
There is mild increase in mesangial matrix with mesangial hypercellularity, mild thickening of the paramesangial capillary walls with narrowing of capillary lumina. The extraglomerular compartment showed focal mild interstitial fibrosis, focal tubular dilatation with flattening of lining epithelium, hyaline casts, focal infiltrates of lymphocytes and occasional eosinophils

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