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A case of suppurative chronic otitis media in a Greek diver with<jats:italic>Vibrio alginolyticus<\/jats:italic>recovered from an ear drainage culture, is reported. The patient received appropriate antimicrobial therapy and her hearing improved significantly after a tympanoplasty type I was performed.<\/jats:p><jats:p>The association of halophilic<jats:italic>Vibrio<\/jats:italic>spp. infections with prolonged seawater contact, particularly in subtropical climates, is discussed. In swimmers with extensive exposure to salt water, individual preventive measures and aetiological treatment of ear infections seems to be required in order to reduce the severity of possible<jats:italic>Vibrio<\/jats:italic>spp. ear infections.<\/jats:p>","DOI":"10.1017\/s0022215100132086","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:14:57Z","timestamp":1196417697000},"page":"1082-1084","source":"Crossref","is-referenced-by-count":7,"title":["Complicated suppurative otitis media in a Greek diver due to a marine halophilic<i>vibrio<\/i>sp."],"prefix":"10.1017","volume":"109","author":[{"given":"A.","family":"Tsakris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Psifidis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Douboyas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100132086_ref004","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2672.1989.tb02454.x"},{"key":"S0022215100132086_ref011","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-109-4-318"},{"key":"S0022215100132086_ref001","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.mi.34.100180.002013"},{"key":"S0022215100132086_ref015","volume-title":"Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically: Approved Standard M7-A2","year":"1990"},{"key":"S0022215100132086_ref003","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1128\/AEM.52.6.1407-1411.1986","article-title":"Occurrence and distribution of halophilic vibrios insubtropical coastal waters of Hong Kong","volume":"52","author":"Chan","year":"1986","journal-title":"Applied and Environmental Microbiology"},{"key":"S0022215100132086_ref013","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1985.01050020081026"},{"key":"S0022215100132086_ref010","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.1.3.245"},{"key":"S0022215100132086_ref005","doi-asserted-by":"publisher","DOI":"10.1126\/science.198.4315.394-a"},{"key":"S0022215100132086_ref016","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1128\/JCM.23.2.373-374.1986","article-title":"Intracranial infection by Vibrio alginolyticus following injury in salt water","volume":"23","author":"Opal","year":"1986","journal-title":"Journal of Clinical Microbiology"},{"key":"S0022215100132086_ref017","first-page":"985","article-title":"Otite a Vibrio alginolyticus","volume":"18","author":"Puy","year":"1989","journal-title":"La Presse Medicale"},{"key":"S0022215100132086_ref009","first-page":"126","article-title":"Necrotizing soft tissue infections caused by marine vibrios","volume":"98","author":"Howard","year":"1985","journal-title":"Surgery"},{"key":"S0022215100132086_ref018","first-page":"361","article-title":"Otitis media due to Vibrio alginolyticus: the risks of the Mediterranean sea","volume":"39","author":"Reina-Prieto","year":"1993","journal-title":"Annales Espaniolas de Pediatria"},{"key":"S0022215100132086_ref006","first-page":"989","article-title":"Isolation of Vibrio alginolyticus from wounds and blood of a burn patient","volume":"43","author":"English","year":"1977","journal-title":"American Journal of Medicine and Technology"},{"key":"S0022215100132086_ref002","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-99-4-464"},{"key":"S0022215100132086_ref007","first-page":"1141","article-title":"Characterization of extracellular alkaline proteases and collagenase induction in Vibrio alginolyticus","volume":"129","author":"Hare","year":"1983","journal-title":"Journal of General Microbiology"},{"key":"S0022215100132086_ref014","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/167.2.479"},{"key":"S0022215100132086_ref008","first-page":"560","article-title":"Isolation of Vibrio alginolyticus from a patient with chronic otitis media: report of case and review of biochemical activity","volume":"87","author":"Hasyn","year":"1987","journal-title":"Journal of American Osteopathological Association"},{"key":"S0022215100132086_ref012","first-page":"282","volume-title":"Manual of Clinical Microbiology","author":"Lennette","year":"1985"},{"key":"S0022215100132086_ref019","doi-asserted-by":"publisher","DOI":"10.1007\/BF02005463"}],"container-title":["The Journal of Laryngology &amp; 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