1/4. A case of fatal food-borne septicemia: can family physicians provide prevention?BACKGROUND: vibrio vulnificus, a common bacteria found in undercooked seafood and seawater, is the leading cause of food-borne death in florida. Fatal cases of V vulnificus infection have also been reported in most states. methods: The literature was searched using the key words "vibrio vulnificus," "septicemia," "wound infections," "seafood," "immunocompromise," and "patient education." A case of fatal V vulnificus septicemia is described. RESULTS AND CONCLUSIONS: V vulnificus, part of the natural flora of temperate coastal waters and one of the most abundant microorganisms found in seawater, has been isolated from waters off the Gulf, Pacific, and Atlantic coasts of the united states. Infections in noncoastal regions have been traced to consumption of seafood derived from Gulf Coast waters. seawater exposure and consumption of inadequately cooked seafood are routes most commonly associated with V vulnificus infection. Exposure to V vulnificus is life-threatening for chronically ill or immunocompromised patients, who are most likely to develop fatal septicemia. Currently a combination of doxycycline and intravenous ceftazidime is recommended treatment. mortality rates from V vulnificus continue to be high in immunocompromised patients. family physicians can help prevent this outcome by counseling high-risk patients.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/4. Primary vibrio vulnificus sepsis in kentucky.vibrio vulnificus is associated with infection acquired during contact with sea water or with seafood, and is seldom suspected by physicians in noncoastal states. The ease of transportation of fresh raw seafood has facilitated this organism's capacity to produce disease in geographic areas in which it was previously unseen. We have reported a case of fatal vibrio vulnificus sepsis acquired from ingestion of fresh oysters in the inland united states.- - - - - - - - - - ranking = 0.2keywords = physician (Clic here for more details about this article) |
3/4. vibrio vulnificus infection. Case report and update since 1970.vibrio vulnificus infections is being reported with increasing frequency in coastal regions of the united states. Raw seafood consumption, particularly raw oysters, and wounds acquired in a marine environment predispose to infection. patients with advanced liver disease are at increased risk of developing septicemia. V. vulnificus is a virulent pathogen producing significant morbidity and mortality; its virulence relates in part to the production of exotoxin. skin lesions occur early in the clinical course of infection and provide means of specific diagnosis. The patient and the consulting physician are well served by the dermatologist capable of recognizing this infectious disease.- - - - - - - - - - ranking = 0.2keywords = physician (Clic here for more details about this article) |
4/4. Vibrio damsela. A cause of fulminant septicemia.A previously healthy 70-year-old man presented with a rapidly progressive and fulminant infection due to Vibrio damsela after suffering a knife cut while filleting bluefish at the new jersey Shore. Despite appropriate antibiotic therapy and localized wound exploration, the patient died. To our knowledge, this is the first reported case of V damsela sepsis with simultaneous isolation of the organism from both blood and wound. We are reporting this case to heighten physicians' awareness of this infection and the importance of early management with antibiotics and surgical consultation.- - - - - - - - - - ranking = 0.2keywords = physician (Clic here for more details about this article) |