Evidence map›Paper›PMID 26825075›Full record

ArticleWiener klinische Wochenschrift2016

Necrotizing fasciitis due to Vibrio cholerae non-O1/non-O139 after exposure to Austrian bathing sites.

Sonja Hirk, Steliana Huhulescu, Franz Allerberger, Sarah Lepuschitz, Sonja Rehak, Sandra Weil, Elisabeth Gschwandtner, Michael Hermann, Stephanie Neuhold, Alexander Zoufaly and 1 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Wiener klinische Wochenschrift, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Non-toxigenicArchive of clinical cases · 2025
    Review
  3. Non-toxigenic cases ofMicrobial genomics · 2024
    Article
  4. Tropical medicine and infectious disease · 2024
    Article
  5. Review
  6. Occurrence ofInternational journal of environmental research and public health · 2023
    Article
  7. Article
  8. Virulence and resistance patterns ofFrontiers in microbiology · 2023
    Article
  9. Insights into Carbapenem Resistance inInternational journal of molecular sciences · 2022
    Review
  10. Review
  11. Heatwave-associatedEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2021
    Article
  12. Article
  13. Article
  14. Non-O1, Non-O139Infection and drug resistance · 2020
    Article
  15. Article
  16. Environmental and Clinical Strains ofFrontiers in microbiology · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Sonja HirkInstitute of Medical Microbiology and Hygiene, Österreichische Agentur für Gesundheit und Ernährungssicherheit (AGES), Spargelfeldstraße 191, 1220, Vienna, Austria.
Steliana HuhulescuInstitute of Medical Microbiology and Hygiene, Österreichische Agentur für Gesundheit und Ernährungssicherheit (AGES), Spargelfeldstraße 191, 1220, Vienna, Austria.
Franz AllerbergerInstitute of Medical Microbiology and Hygiene, Österreichische Agentur für Gesundheit und Ernährungssicherheit (AGES), Spargelfeldstraße 191, 1220, Vienna, Austria. franz.allerberger@ages.at.
Sarah LepuschitzInstitute of Medical Microbiology and Hygiene, Österreichische Agentur für Gesundheit und Ernährungssicherheit (AGES), Spargelfeldstraße 191, 1220, Vienna, Austria.
Sonja RehakInstitute of Medical Microbiology and Hygiene, Österreichische Agentur für Gesundheit und Ernährungssicherheit (AGES), Spargelfeldstraße 191, 1220, Vienna, Austria.
Sandra WeilInstitute of Medical Microbiology and Hygiene, Österreichische Agentur für Gesundheit und Ernährungssicherheit (AGES), Spargelfeldstraße 191, 1220, Vienna, Austria.
Elisabeth Gschwandtner2. Chirurgische Abteilung, Wiener Krankenanstaltenverbund, Krankenanstalt Rudolfstiftung, Vienna, Austria.
Michael Hermann2. Chirurgische Abteilung, Wiener Krankenanstaltenverbund, Krankenanstalt Rudolfstiftung, Vienna, Austria.
Stephanie Neuhold4. Medizinische Abteilung mit Infektiologie und Tropenmedizin, Wiener Krankenanstaltenverbund, Kaiser Franz Josef Spital, Vienna, Austria.
Alexander Zoufaly4. Medizinische Abteilung mit Infektiologie und Tropenmedizin, Wiener Krankenanstaltenverbund, Kaiser Franz Josef Spital, Vienna, Austria.
Alexander IndraInstitute of Medical Microbiology and Hygiene, Österreichische Agentur für Gesundheit und Ernährungssicherheit (AGES), Spargelfeldstraße 191, 1220, Vienna, Austria.
Gesundheit Österreich · ATAustrian Agency for Health and Food Safety · ATKaiser-Franz-Josef-Spital · ATWiener Krankenanstaltenverbund · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report on two cases of necrotizing fasciitis of the lower leg due to nontoxigenic Vibrio cholerae (V. cholerae). A 73-year-old woman (case 1) and an 80-year-old man (case 2) were hospitalized with symptoms of necrotizing fasciitis on July 18 and August 15, 2015, respectively. In both cases, symptoms started the day after swimming in local ponds. Swabs gained intraoperatively and a blood culture from the male patient, yielded V. cholerae non-O1/non-O139, negative for cholera toxin gene ctx and positive for hemolysin genes hlyA and hlyB. Water samples taken from pond A on August 17, 2015 (32 days after exposure of case 1) and from pond B on August 20, 2015 (7 days after exposure of case 2) yielded non-O1/non-O139 V. cholerae in most-probable numbers of > 11,000 per 100 ml each. The occurrence of two cases of necrotizing fasciitis within a 1 month period related to two Austrian non-saline bathing waters, previously not known to harbor V. cholerae, is probably linked to the prevailing extreme weather conditions (heat wave, drought) this summer in Austria. While case 1 was discharged in good clinical condition after 73 days, case 2 died after four months of hospitalization. Public health authorities are challenged to assess the effects of long-term climate change on pathogen growth and survival in continental bodies of fresh water.

Indexed as

AgedAged, 80 and overAnti-Bacterial AgentsAustriaBathsEnvironmental ExposureFasciitis, NecrotizingFatal OutcomeFemaleHumansMalePondsVibrio cholerae non-O1Vibrio InfectionsWater MicrobiologyAnti-Bacterial AgentsBathing sitesClimate changeDroughtHeat waveNecrotizing fasciitisVibrio cholerae

Identifiers

PMID26825075
PMCPMC4771811
OpenAlexW2286629415

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.