A case ofVibrio vulnificus infection


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.

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Correspondence to Takashi Ohta MD.

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Ohta, T., Kato, R., Boku, K. et al. A case ofVibrio vulnificus infection. The Japanese Journal of Surgery 18, 580–587 (1988). https://doi.org/10.1007/BF02471493

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Key Words

  • Vibrio vulnificus
  • septicemia
  • DIC
  • cellulitis
  • liver cirrhosis