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Case report
Septicemia secondary to Vibrio cholerae (non-O1/non-O139) in wound
  1. Ahad Azeem1,
  2. Teryn Nogles2 and
  3. Regine Cherazard1
  1. 1 Internal Medicine, Long Island Jewish at Forest Hills, Forest Hills, New York, USA
  2. 2 VCU Medical Center Main Hospital, Richmond, Virginia, USA
  1. Correspondence to Dr Ahad Azeem; aazeem{at}


A 63-year-old woman with a prior history of chronic lower extremity lymphedema came to the hospital for evaluation of new-onset left leg pain and swelling associated with haemorrhagic blisters and foul-smelling discharge. Relevant history included a recent trip to a Hudson River Valley beach in New York 1 week prior to hospitalisation. Laboratory evaluation revealed significant leukocytosis and lactic acidosis. She was found to have sepsis and bacteremia secondary to Vibrio cholerae (serotype non-O1, non-O139). During a prolonged intensive care unit course requiring intravenous pressor support and broad-spectrum antibiotics, she underwent debridement of her left foot eschar along with skin grafting. Once clinically stable and improved, she was discharged to a subacute rehabilitation centre with close follow-up for wound care. V. cholerae infection is rare and often benign but can be transmitted from contaminated seawater to individuals with underlying chronic illness and cause severe symptoms, including sepsis.

  • infections
  • skin
  • infectious diseases
  • adult intensive care

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  • Contributors RC supervised the project and contributed to the final version of the manuscript. TN helped in getting biopsy slides, pictures of the patient and consent form. AA wrote the manuscript with input from all authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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