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The Japanese journal of surgery

, Volume 18, Issue 5, pp 580–587 | Cite as

A case ofVibrio vulnificus infection

  • Takashi Ohta
  • Ryohei Kato
  • Kazuhiko Boku
  • Mitsutaka Kondo
  • Hideki Kazui
  • Kenichi Naiki
  • Hiromichi Tsuchioka
  • Yasunori Inoue
  • Hiroshi Noguchi
  • Yoshiaki Takumi
  • Kohji Ikuta
Case Reports

Abstract

Vibrio vulnificus, a recently described strain of the halophilicVibrio species, was isolated from the blood of a 73-year-old man, who developed rapidly progressive wound infection and fatal septicemia. Twenty-one patients withVibrio vulnificus infection have been reported in the Japanese literature.Vibrio vulnificus most frequently causes primary septicemia and necrotising cellulitis after the eating of raw fish or shellfish or after exposure to seawater. The infection is characterized by its occurring during the warm months of the year, in patients with underlying diseases, especially liver diseases, and the mortality rate is surprisingly high. Clinicians should therefore consider the possibility ofVibrio vulnificus infection in the differential diagnosis of severe wound infections. Early surgical intervention and intensive antibiotic therapy are recommended for preventing the progress of the septicemia.

Key Words

Vibrio vulnificus septicemia DIC cellulitis liver cirrhosis 

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Copyright information

© The Japan Surgical Society 1988

Authors and Affiliations

  • Takashi Ohta
    • 1
  • Ryohei Kato
    • 1
  • Kazuhiko Boku
    • 1
  • Mitsutaka Kondo
    • 1
  • Hideki Kazui
    • 1
  • Kenichi Naiki
    • 1
  • Hiromichi Tsuchioka
    • 1
  • Yasunori Inoue
    • 2
  • Hiroshi Noguchi
    • 2
  • Yoshiaki Takumi
    • 2
  • Kohji Ikuta
    • 3
  1. 1.Second Department of SurgeryAichi Medical UniversityAichiJapan
  2. 2.Department of AnesthesiologyAichi Medical UniversityAichiJapan
  3. 3.Second Department of PathologyAichi Medical UniversityAichiJapan

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