Non O1 Vibrio cholerae as a cause of bacteremic lower limb cellulitis: A case report Tarig Ahmed Abdelhafiz, Amani Mansour Alnimr, Abdulrahman Mohammed Alabduljabbar, Hussain Salman AlMuqallad, Abdullah Abdulmonem Alzarra, Hassan Nasser Alrashed, Moudhi Mufarej Aladwani, Amani Mohammed Hakami International Journal of Surgery Case Reports, 2019 Introduction Self-limiting gastroenteritis and wound infections in immunocompetent patients are most of the cases involved with Non-O1, non-O139 Vibrio cholerae which its microorganism occasionally accountable for intestinal and extra-intestinal infections. Cellulitis is an infection of the skin and underlying soft tissue mostly affected by bacteria. Diabetic foot ulcer is the most costly and devastating complication of diabetes mellitus. Case presentation This following case describes a bacteremic soft tissue infection in a diabetic patient who is 54-year-old male with 6 years of type 2 diabetes mellitus. The patient was treated with surgical debridement of the foot ulcer, calf fasciotomy and medical therapy then he discharged. The next day readmitted with deteriorating of his condition the whole right leg to the level of the knee became ischemic and black with evidence of wet gangrene. A Guillotine above knee amputation was done. Discussion Upon review of literature, we only found few cases have been reported of cellulitis due to V. cholerae . A degree of hepatic impairment or immunocompromised state like Diabetes Mellitus, chronic infections, malignancies, and peripheral vascular disease are seen in the majority of non-gastrointestinal V. cholerae infections which suggests that it should be included in the differential diagnosis of bacteremic skin and soft tissue infections in patients with underlying illnesses. Conclusion Cholerae should be included in the differential diagnosis of any bacteremic skin and soft tissue infections especially in elderly, comorbid and immune-compromised patients. Well-timed, proper antibiotic and surgical treatments are important in management of the infection to decrease morbidity and mortality. Highlights
Medical students' perception of their educational environment at Imam Abdulrahman Bin Faisal University, Kingdom of Saudi Arabia Abdul Khabeer, SobanQ Khan, Mohammad Al-Shahrani, FarazA Farooqi, Abdullah Alshamrani, AbdulrahmanM Alabduljabbar, AhmedS Bahamdan, MohammadA Alqathani Journal of Family and Community Medicine, 2019 OBJECTIVE: The purpose of this study was to investigate students' perception of the educational climate in a medical school in Dammam, Kingdom of Saudi Arabia (KSA). The difference in the perception of preclinical year students and clinical year students was also evaluated. MATERIALS AND METHODS: year students at the medical college of Imam Abdulrahman Bin Faisal University. "Dundee Ready Educational Environment Measure" (DREEM) was used to evaluate the educational environment. RESULTS: year had the highest DREEM score compared to students of other levels, while the DREEM score of preclinical students was significantly higher than that of the clinical year students. CONCLUSION: Perception of medical students about the educational climate was more positive than negative. Although the DREEM score and its subdomains showed a positive educational environment, students still mentioned some problematic areas that need to be addressed. Findings of this study could encourage other medical colleges in the KSA to focus on weak areas and address the issues raised by students, especially clinical year students.
