A Rare Presentation of Vibrio Fluvialis

Pneumonia can be caused by a multitude of pathogens commonly associated with different environments and geographic locations.Due to a variety of factors including changes in water temperatures, air temperatures, and general coastal environments, some pathogens isolated from aquatic regions are becoming more prevalent, with previously uncommon manifestations.We present a case of Vibrio fluvialis manifesting as pneumonia in an adult male with altered mental status.The patient lives in a coastal environment increasing the likelihood of exposure and colonization.Treatment with IV cefepime and transition to oral ciprofloxacin led to the resolution of the disease.This is the first report of V. fluvialis affecting the lungs, unlike its usual gastrointestinal presentation.