RESUMO
Non-O1/non-O139 Vibrio cholerae, a comparably poorly studied pathogen is culpable of sporadic but serious infections. We report a case of non O1 non O139 Vibrio cholerae septicemia in a middle aged male recently diagnosed with carcinoma pancreas. He underwent biliary tract interventional procedure for hematemesis three weeks before the presentation. Now, he presented with fever, abdominal pain, hematemesis and melena. Endoscopy revealed severe portal hypertensive gastropathy and mild hemobilia. Blood culture grew Vibrio cholerae, identified as non O1 non O139 by serogrouping. He recovered successfully with timely diagnosis, appropriate antibiotics and supportive measures.
Assuntos
Antibacterianos , Neoplasias Pancreáticas , Sepse , Vibrio cholerae não O1 , Humanos , Masculino , Neoplasias Pancreáticas/complicações , Neoplasias Pancreáticas/microbiologia , Vibrio cholerae não O1/isolamento & purificação , Vibrio cholerae não O1/classificação , Vibrio cholerae não O1/patogenicidade , Vibrio cholerae não O1/genética , Sepse/microbiologia , Sepse/diagnóstico , Pessoa de Meia-Idade , Antibacterianos/uso terapêutico , Cólera/microbiologia , Cólera/diagnóstico , Cólera/complicações , Vibrioses/diagnóstico , Vibrioses/microbiologiaRESUMO
Prostate tuberculosis is an infrequent manifestation of genitourinary tuberculosis Complications like prostate abscess, perineal fistula, sinus can occur in immunocompromised individuals. Various predisposing factors like diabetes, bladder outlet obstruction, chronic renal failure can lead to prostate abscess. TRUS (Transrectal USG) is one of the tools useful for the diagnosis of prostatic abscess. We present our case, 57 year man, ethanolic with features of chronic liver disease and pulmonary tuberculosis which disseminated to prostate, developed abscess presenting as pyrexia of unknown origin.