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Complicated suppurative otitis media in a Greek diver due to a marine halophilic vibrio sp.

Published online by Cambridge University Press:  29 June 2007

A. Tsakris*
Affiliation:
Department of Medical Microbiology, Aristotelian University of Thessaloniki, Greece
A. Psifidis
Affiliation:
Departments of Otorhinolaryngology, AHEPA University Hospital, Thessaloniki, Greece
J. Douboyas
Affiliation:
Department of and Microbiology, AHEPA University Hospital, Thessaloniki, Greece
*
Professor J. Douboyas, Department of Microbiology, 1 Kyriakidis Street, AHEPA University Hospital, 54636 Thessaloniki, Greece.

Abstract

Halophilic vibrios are distinct from non-cholera vibrios and have been recognized increasingly as potentially pathogenic bacteria in extraintestinal infections. A case of suppurative chronic otitis media in a Greek diver with Vibrio alginolyticus recovered from an ear drainage culture, is reported. The patient received appropriate antimicrobial therapy and her hearing improved significantly after a tympanoplasty type I was performed.

The association of halophilic Vibrio spp. infections with prolonged seawater contact, particularly in subtropical climates, is discussed. In swimmers with extensive exposure to salt water, individual preventive measures and aetiological treatment of ear infections seems to be required in order to reduce the severity of possible Vibrio spp. ear infections.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

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References

Blake, P. S., Weaver, R. E., Hollis, D. G. (1980) Diseases of humans (other than cholera) caused by vibrios. Annual Reviews of Microbiology 34: 341367.CrossRefGoogle ScholarPubMed
Bonner, J. R., Coker, A. S., Berryman, C. R., Pollock, H. M. (1983) Spectrum of vibrio infections in a Gulf coast community. Annals of Interna! Medicine 99: 464469.CrossRefGoogle Scholar
Chan, K. Y., Woo, M. L., Lo, K. W., French, G. L. (1986) Occurrence and distribution of halophilic vibrios insubtropical coastal waters of Hong Kong. Applied and Environmental Microbiology 52: 14071411.CrossRefGoogle ScholarPubMed
Chan, K. Y., Woo, M. L., Lam, L. Y., French, G. L. (1989) Vibrio parahaemolyticus and other halophilic vibrios associated with seafood in Hong Kong. Journal of Applied Bacteriology 66: 5764.CrossRefGoogle ScholarPubMed
Colwell, R. R., Kaper, J., Joseph, S. W. (1977) Vibrio cholera, Vibrio parahaemolyticus and other vibrios: occurrence and distribution in Chesapeake Bay. Science 198: 394396.Google ScholarPubMed
English, V. L., Lindberg, R. B. (1977) Isolation of Vibrio alginolyticus from wounds and blood of a burn patient. American Journal of Medicine and Technology 43: 989993.Google ScholarPubMed
Hare, P., Scott-Burden, T., Woods, D. R. (1983) Characterization of extracellular alkaline proteases and collagenase induction in Vibrio alginolyticus. Journal of General Microbiology 129: 11411147.Google Scholar
Hasyn, J. J., Mauer, T. P., Warner, R., Von-Hake, C. (1987) Isolation of Vibrio alginolyticus from a patient with chronic otitis media: report of case and review of biochemical activity. Journal of American Osteopathological Association 87: 560562.Google ScholarPubMed
Howard, R. J., Pessa, M. E., Brennaman, B. H., Ramhal, R. (1985) Necrotizing soft tissue infections caused by marine vibrios. Surgery 98: 126130.Google ScholarPubMed
Janda, J. M., Powers, C., Bryant, R. G., Abbott, S. L. (1988) Current perspectives on the epidemiology and pathogenesis of clinically significant Vibrio spp. Clinical Microbiology Review 1: 245267.CrossRefGoogle ScholarPubMed
Klontz, K. C., Lieb, S., Schreiber, M., Janowski, H. T., Baldy, L. M., Gunn, R. A. (1988) Syndromes of Vibrio vulnificus infections. Clinical and epidemiological features in Florida cases, 1981–1987. Annals of Internal Medicine 109: 318323.CrossRefGoogle ScholarPubMed
Lennette, E. H., Ballows, A., Hausler, W. Jr., Shadomy, C. H. (1985) Manual of Clinical Microbiology 4th Edition, American Society for Microbiology, Washington, pp 282301.Google Scholar
Lessner, A. M., Webb, R. M., Rabin, B. (1985) Vibrio alginolyticus conjunctivitis. Archives of Ophthalmology 103: 229230.Google Scholar
Levine, W. C., Griffin, P. M. (The Gulf Coast Vibrio Working Group) (1993) Vibrio infections on the Gulf coast: results of first year of regional surveillance. Journal of Infectious Diseases 167: 479483.CrossRefGoogle ScholarPubMed
National Committee for Clinical Laboratory Standards (1990) Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically: Approved Standard M7-A2. NCCLS, Villanova.Google Scholar
Opal, S. M., Saxon, J. R. (1986) Intracranial infection by Vibrio alginolyticus following injury in salt water. Journal of Clinical Microbiology 23: 373374.Google Scholar
Puy, H., Canarelli, B., Denamur, E., Strunsky, V., Orfila, J. (1989) Otite a Vibrio alginolyticus. La Presse Medicale 18: 985.Google ScholarPubMed
Reina-Prieto, J., Hervas-Palazon, J. (1993) Otitis media due to Vibrio alginolyticus: the risks of the Mediterranean sea. Annales Espaniolas de Pediatria 39: 361363 (Medline Abstract).Google ScholarPubMed
Robert, R., Grollier, G., Malin, F., Dore, P., Pourrat, O. (1991) Isolation of Vibrio alginolyticus from blood cultures in a leukaemic patient after consumption of oysters. European Journal of Clinical Microbiology and Infectious Diseases 10: 987988.CrossRefGoogle Scholar