Cases reported "Vibrio Infections"

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11/163. vibrio parahaemolyticus-food poisoning: case report.

    Symptoms of food poisoning occurred following the ingestion of raw shellfish purchased in the Auckland area. vibrio parahaemolyticus was recoverer from the patient. The potential of this and closely related microorganisms to cause illness is reviewed. ( info)

12/163. Vibrio cholerae O2 as a cause of a skin lesion in a tourist returning from tunisia.

    Isolates of Vibrio cholerae other than O1 and O139 (non O1 Vibrio cholerae) are associated with sporadic diarrheal disorders, and limited outbreaks of diarrhea, and have often been reported in association with extraintestinal infections. The majority of cases of non O1 Vibrio cholerae infection involve immunocompromised patients with hematologic malignancies or cirrhosis. In italy, very few cases of gastrointestinal and extraintestinal infections due to non O1 Vibrio cholerae have been described in the past years. We describe a case of non O1 Vibrio cholerae infection with cutaneous bullous lesions in a tourist returning from tunisia. ( info)

13/163. vibrio vulnificus infection complicated by acute respiratory distress syndrome in a child with nephrotic syndrome.

    A 9-year-old girl with nephrotic syndrome visited a local hospital after developing fever, chills, and edematous changes and multiple hemorrhagic bullae on both legs over 2 days. Cultures of blood and an aspirate from the bullae yielded vibrio vulnificus. The patient was transferred to our hospital because of persistent fever, generalized edema, acute renal failure, and disseminated intravascular coagulopathy. We treated this patient as a V. vulnificus infection complicated with necrotizing fasciitis. With minocycline and ceftazidime combination therapy was instituted. Emergency fasciotomy and continuous peritoneal dialysis were performed. The patient developed acute respiratory distress syndrome (ARDS) during the hospitalization, requiring intubation and mechanical ventilation. She eventually died. The histopathological findings showed diffuse alveolar damage with lobular pneumonitis. Hyaline membranes, composed of proteinaceous exudate and cellular debris, covered the alveolar surfaces. Microscopic examinations of lung could not distinguish the effects of cytolysin from other insults to lungs that occur in ARDS. This report highlights the postmortem pathological findings in V. vulnificus infection in a child with nephrotic syndrome complicated by ARDS. ( info)

14/163. 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. ( info)

15/163. An unusual source of vibrio alginolyticus-associated otitis: prolonged colonization or freshwater exposure?

    otitis externa and otitis media are commonly encountered in clinical practice. We report an unusual case of otitis externa, which was caused by vibrio alginolyticus, several months after saltwater exposure. Clinicians need to be aware of this unusual pathogen, especially in refractory cases of ear infections. ( info)

16/163. A cytotoxin-producing strain of vibrio cholerae non-o1, non-O139 as a cause of cholera and bacteremia after consumption of raw clams.

    We report a case of a cholera-like gastroenteritis subsequent with bacteremia in a healthy man following consumption of raw clams. Although we failed to recover the organism from the patient's stool culture, his blood culture was positive for a non-cholera toxin-producing yet cytotoxin-producing non-O1 and non-O139 Vibrio cholerae. ( info)

17/163. Isolation of vibrio parahaemolyticus from a knee wound.

    This is a case report of a contamination of an injured knee with an unusual organism, vibrio parahaemolyticus, that is likely to occur in patients living in coastal areas but often overlooked. The infection apppears to be sensitive to a number of antibiotics and very likely cured, whether recognized or not as the proper organism. ( info)

18/163. vibrio vulnificus septicemia in a patient with the hemochromatosis HFE C282Y mutation.

    vibrio vulnificus is an extremely invasive gram-negative bacillus found in marine waters that causes overwhelming bacteremia and shock that is associated with high mortality. Impaired iron metabolism has been implicated in the susceptibility to V vulnificus bacterial infections. We report a case of fatal V vulnificus sepsis in a 56-year-old man who died within 1 to 3 days after consuming raw seafood. At autopsy, he was found to have micronodular cirrhosis and iron overload. Postmortem genetic analysis revealed the presence of the hemochromatosis gene (HFE) C282Y mutation. To our knowledge, this is this first documented fatal case of V vulnificus infection in a patient proven to carry the HFE C282Y mutation. Because this patient was heterozygous for the major hereditary hemochromatosis mutation and was not previously diagnosed with clinical iron overload, the spectrum of clinical susceptibilities to V vulnificus infection may include carriers of the C282Y mutation. ( info)

19/163. A fatal case of vibrio vulnificus presenting as septic arthritis.

    vibrio vulnificus is an invasive gram-negative bacillus that may cause necrotizing cellulitis, bacteremia, and/or sepsis. Although V vulnificus infection is uncommon, it is frequently fatal and is usually attributed to ingestion of raw shellfish or traumatic exposure to a marine environment; patients are also often found to have a hepatic disorder (cirrhosis, alcohol abuse, or hemochromatosis) or an immunocompromised health status, and most commonly present with septicemia or a wound infection. We describe a patient who presented with septic arthritis as the first clinical manifestation of a V vulnificus infection. The organism was subsequently identified in a synovial fluid aspirate. ( info)

20/163. vibrio parahaemolyticus as a cause of gastroenteritis in indonesia.

    vibrio parahaemolyticus was isolated from rectal swabs in two cases of acute gastroenteritis from different districts of Jakarta. ( info)
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