Cases reported "Vibrio Infections"

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1/163. vibrio parahaemolyticus gastroenteritis associated with international travel.

    Food-borne gastroenteritis due to vibrio parahaemolyticus is becoming of increasing world importance. This paper describes the clinical presentations and laboratory investigations of four cases of gastroenteritis due to V. parahaemolyticus among passengers returning to australia on international aircraft from South-East asia. ( info)

2/163. Human infections caused by V. parahaemolyticus in czechoslovakia.

    vibrio parahaemolyticus was isolated in two subjects with acute gastroenteritis. The patients' history included stay in pakistan or india. They probably contracted the infection on board an aeroplane where they ingested cold meal containing sea products. The possibility of this conditioned pathogen occurring also in an inland country is pointed out. ( info)

3/163. The use of a modified Dakin's solution (sodium hypochlorite) in the treatment of vibrio vulnificus infection.

    We report the first clinical use of a modified Dakin's solution (0.025% sodium hypochlorite [NaOCl]) to halt the progress of severe cutaneous vibrio vulnificus infection in a critically ill patient. The regimen used arose from an initial in vitro study designed to examine the sensitivity of Vibrio species to topical antimicrobial agents. Twenty-eight wound isolates were tested against the following eight topical preparations: silver sulfadiazine (Silvadene), nitrofurazone, mupirocin ointment (Bactroban), polymyxin b/bacitracin, mafenide acetate (Sulfamylon), nystatin/Silvadene, nystatin/polymyxin b/bacitracin, and 0.025% NaOCl solution. The results showed that V vulnificus, along with the other 18 Vibrio species tested, was most sensitive to the modified NaOCl solution. ( info)

4/163. vibrio cholerae O2 sepsis in a patient with AIDS.

    vibrio cholerae strains other than O1 and 0139 (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 following is a presentation of a fatal case of non-O1 vibrio cholerae septicemia with disseminated intravascular coagulation and cutaneous bullous lesions that occurred in a patient infected with the acquired immunodeficiency syndrome. In order to prevent vibrio cholerae infection, patients with underlying diseases should be warned of the risk factors for acquiring such infection, including consumption of raw shellfish and exposure to sea and fresh water where shellfish are found. ( info)

5/163. Compartment syndrome of the forearm as the initial symptom of systemic vibrio vulnificus infection.

    sepsis, cellulitis, and necrotizing fasciitis rarely have been described as causes of compartment syndrome. We report a case in which forearm compartment syndrome presented as the initial symptom of systemic infection. vibrio vulnificus, the etiologic pathogen of the compartment syndrome, was isolated from wound and blood cultures. The patient was treated with systemic antibiotic treatment and multiple forearm fasciotomies. The infectious process progressed rapidly, however and due to underlying liver insufficiency, the patient died of hepatorenal syndrome. This case illustrates the nature of V. vulnificus infections, which are characterized by shellfish transmission, predilection for soft tissue seeding, and a fulminant course in the compromised host. ( info)

6/163. Primary vibrio vulnificus bacteremia in a liver transplant recipient after ingestion of raw oysters: caveat emptor.

    vibrio vulnificus is responsible for severe infections in chronically ill patients. Organ transplant recipients are also at risk for severe infections due to V vulnificus. We report here the first case of V. vulnificus primary bacteremia due to raw shellfish consumption in a liver transplant recipient. All transplant patients should be cautioned against consuming uncooked seafood and warned about the risk of severe vibrio infections from seemingly innocuous wounds acquired in a salt water environment. ( info)

7/163. Vibrio parahemolyticus bacteremia: case report.

    Vibrio parahemolyticus (V. parahemolyticus) is a halophilic gram-negative bacillus that lives in the ocean. It is the leading cause of infectious diarrhea in taiwan and sometimes produces soft tissue infections, but it is rarely a cause of bacteremia. There have been only 11 cases reported in the literature. Most of the cases involved a history of ingestion of seafood or exposure to seawater. In addition, those patients were all immunosuppressed, especially with leukemia and cirrhosis. We report a 60-year-old male patient with chronic hepatitis c and adrenal insufficiency. He developed V. parahemolyticus bacteremia following ingestion of seafood one week prior to admission. His condition was complicated with neck and right lower leg soft tissue infection, as well as multiple organ failure. The patient survived after intravenous ceftazidime, oral doxycycline, and surgical debridement. To our knowledge, this is the 12th reported cases on medline, and the second bacteremic case in taiwan. After reviewing the literature, we suggest that all patients with immunosuppressed conditions or adrenal insufficiency should eat foods that are well cooked and avoid raw seafood. Moreover, when patients who are at risk to develop fever, diarrhea, and soft tissue infection after ingestion of seafood, V. parahemolyticus infection should be suspected. All culture specimens should be inoculated on Vibrios selective media. ( info)

8/163. Fulminant necrotising fasciitis caused by vibrio parahaemolyticus.

    We report a patient with septicaemia and fulminant necrotising fasciitis caused by vibrio parahaemolyticus. This organism is strongly associated with seawater exposure and seafood ingestion. The patient recovered due to expedient management, prompt recognition of the organism, appropriate antimicrobial cover and surgical debridement. The lesson to be learned is that this organism should be clinically suspected and recognised from its typical history of injury and fulminant clinical progress as a delay in diagnosis and treatment may result in an increased risk of mortality. ( info)

9/163. Vibrio ocular infections on the U.S. Gulf Coast.

    PURPOSE: To describe the epidemiology of Vibrio eye infections. METHOD: We reviewed the records of a patient from our institution with V. vulnificus keratitis and conducted a literature search for other cases of ocular infections with Vibrio species. RESULTS: A 39-year-old fisherman was struck in his left eye with an oyster shell fragment, developed suppurative V. vulnificus keratitis, and was successfully treated with combined cefazolin and gentamicin. Including our patient, 17 cases of eye infections with Vibrio spp. have been reported, and 11 (65%) involved exposure to seawater or shellfish. Of the seven cases due to V. vulnificus (six keratitis and one endophthalmitis), six had known exposure to shellfish or seawater along the U.S. coast of the gulf of mexico. Of five cases of V. alginolyticus conjunctivitis, three had been exposed to fish or shellfish. Three infections with V. parahaemolyticus (one keratitis and two endophthalmitis) were reported; two of these occurred in people exposed to brackish water on or near the Gulf Coast. Two cases of postsurgical endophthalmitis, one with V. albensis and one with V. fluvialis, also were reported. CONCLUSIONS: In addition to septicemia, gastroenteritis, and wound infections, halophilic noncholera Vibrio species can cause sight-threatening ocular infections. Ocular trauma by shellfish from contaminated water is the most common risk factor for Vibrio conjunctivitis and keratitis. Nearly one half of reported vibrio infections of the eye occurred along the U.S. coast of the gulf of mexico. ( info)

10/163. vibrio vulnificus corneal ulcer: rapid resolution of a virulent pathogen.

    PURPOSE: To describe a corneal ulcer due to vibrio vulnificus that resolved rapidly with antibiotic therapy alone. METHOD: Case report and review of literature. RESULTS: This is the third reported case of corneal ulcer due to V. vulnificus. All followed trauma sustained during oyster shucking. Both prior cases required invasive therapy to achieve a cure. Our case responded rapidly to hourly treatment with ciprofloxacin, Neosporin, and fortified vancomycin. CONCLUSION: V. vulnificus is a virulent pathogen that can infect the cornea after shellfish injury to the eye. Clinical suspicion and early therapy with appropriate antibiotics can lead to an excellent outcome. ( info)
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