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Case Reports in Emergency Medicine
Volume 2012 (2012), Article ID 838904, 2 pages
http://dx.doi.org/10.1155/2012/838904
Case Report

Acute Otitis due to Vibrio fluvialis after Swimming

1Department of Surgery, Chi Mei Medical Center, 201, Taikang Village, Liouying, Township, Tainan 736, Taiwan
2Department of Intensive Care Medicine, Chi Mei Medical Center, 201, Taikang Village, Liouying, Township, Tainan 736, Taiwan

Received 22 February 2012; Accepted 26 April 2012

Academic Editors: R. Rajani and M. Sand

Copyright © 2012 Ping-Jen Chen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 40-year-old female presented with purulent exudate through the left auditive duct and pain in the left ear region, which intensified during mastication. After collection of the pus from the left ear lesion, amoxicillin-clavulanic acid for seven days was prescribed for a presumed diagnosis of acute otitis. Four days later, the pus culture grew V. fluvialis which is further identified by API 20E identification system (bioMérieux). Following the successful completion of a course of antibiotics, the patient recovered completely and without complication. To the best of our knowledge, this is the first case of Vibrio fluvialis otitis after swimming in an immunocompetent patient.