Vibrio fluvialis cholangitis with bacteremia and refractory septic shock : a case report and review of the literature
Lazzari, Roberto (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Borja Cano, María (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Rivera, Alba (Universitat Autònoma de Barcelona. Departament de Genètica i de Microbiologia)
Rubio, Marc (Institut de Recerca Sant Pau)
Castellà Rovira, Marta (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Puig Campmany, Mireia (Universitat Autònoma de Barcelona. Departament de Medicina)

Date:	2025
Abstract:	Vibrio fluvialis is an emerging pathogen primarily associated with gastroenteritis, though an increasing number of extraintestinal infections have been reported. We present the first documented case in Europe of V. fluvialis cholangitis with liver abscess and bacteremia. An 85-year-old man with diabetes mellitus and chronic steroid use was admitted with severe epigastric pain but no fever or gastrointestinal symptoms. Initial laboratory tests were unremarkable, yet imaging revealed a hepatic abscess. Despite early antibiotic therapy, the patient rapidly developed refractory septic shock and died within 12 h. Blood cultures confirmed V. fluvialis. This case highlights the potential for severe V. fluvialis infections even in the absence of known seafood or seawater exposure. Given the global rise in raw seafood consumption, physicians should consider V. fluvialis as a potential pathogen in diabetic or immunocompromised patients presenting with hepatobiliary infections and sepsis.
Note:	Altres ajuts: acords transformatius de la UAB
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Bacteremia ; Septic shock ; Vibrio ; Cholangitis
Published in:	Infection, 2025 , ISSN 1439-0973

DOI: 10.1007/s15010-025-02535-7

5 p, 829.3 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles