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- W4387272615 abstract "Extra-intestinal infection with non-O1/non-O139 strains of Vibrio cholerae (NOVC) is rare, though bacteremia and hepatobiliary manifestations have been reported. Reduced stomach acid, or hypochlorhydria, can increase risk of V. cholerae infection. We describe a 42-year-old woman with hypochlorhydria due to untreated Helicobacter pylori infection, gastric-bypass surgery, and chronic proton pump inhibitors (PPI) exposure, who developed acute diarrhea following raw oyster consumption. Her symptoms were attributed to dumping syndrome after a negative limited stool work-up. She had persistent diarrhea, weight loss, and after five months was admitted with acute cholecystitis and NOVC bacteremia, requiring cholecystectomy. This is the first reported case of NOVC bacteremia and cholecystitis in a patient with gastric bypass. This case highlights the role of hypochlorhydria as a risk factor for Vibrio infection and the importance of excluding infectious diarrhea in patients with new onset of symptoms compatible with dumping syndrome and a relevant travel history." @default.
- W4387272615 created "2023-10-03" @default.
- W4387272615 creator A5069775403 @default.
- W4387272615 date "2022-12-03" @default.
- W4387272615 modified "2023-10-03" @default.
- W4387272615 title "Reviewer response for version 1" @default.
- W4387272615 doi "https://doi.org/10.1099/acmi.0.000517.v1.4" @default.
- W4387272615 hasPublicationYear "2022" @default.
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