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Volume 5, Issue 10

Duped by dumping syndrome: non-endemic bacteremia in an immunocompetent host with gastric bypass surgery, a case report Open Access

Abstract

Extra-intestinal infection with non-O1/non-O139 strains of (NOVC) is rare, though bacteremia and hepatobiliary manifestations have been reported. Reduced stomach acid, or hypochlorhydria, can increase risk of infection. We describe a 42-year-old woman with hypochlorhydria due to untreated infection, gastric-bypass surgery, and chronic proton pump inhibitors (PPI) exposure, who developed acute diarrhoea following raw oyster consumption. Her symptoms were attributed to rapid gastric emptying (dumping syndrome) after a negative limited stool work-up. She had persistent diarrhoea, weight loss, and after 5 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 potential for NOVC biliary carriage, the role of hypochlorhydria as a risk factor for infection, and the importance of excluding infectious diarrhoea in patients with new onset of symptoms compatible with dumping syndrome and a relevant travel history.

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Keyword(s): bacteremia , case report , gastric bypass , infectious diarrhea , non-epidemicVibrio cholerae and NOVC
© 2023 The Authors
  • This is an open-access article distributed under the terms of the Creative Commons Attribution License.
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2023-10-31
2026-03-15

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Duped by dumping syndrome: non-endemic Vibrio cholerae bacteremia in an immunocompetent host with gastric bypass surgery, a case report
Access Microbiology 5, 000517.v3 (2023); https://doi.org/10.1099/acmi.0.000517.v3
/content/journal/acmi/10.1099/acmi.0.000517.v3
/content/journal/acmi/10.1099/acmi.0.000517.v3
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