Late-onset Vibrio vulnificus septicemia without cirrhosis

Michelle T. Lee, An Q. Dinh, Stephanie Nguyen, Gus Krucke, Truc T. Tran

    Research output: Contribution to journalArticlepeer-review

    7 Scopus citations

    Abstract

    Recent surveillance from the Centers for Disease Control and Prevention indicates rising annual incidence rates of Vibrio vulnificus infection. Unfortunately, this infection is often excluded from the differential diagnosis in lesser known at-risk populations. Transmission occurs via wound exposure or ingestion, with V. vulnificus foodborne illness having the highest mortality rate of all Vibrio species. Fatality rates of V. vulnificus rival those of Ebola and bubonic plague, so timely treatment is imperative. Current literature favors surgical debridement with a third-generation cephalosporin plus intravenous doxycycline or fluoroquinolone. Cephalosporin monotherapy is discouraged due to rising resistance. This case features V. vulnificus septicemia with prolonged incubation time in a noncirrhotic patient.

    Original languageEnglish (US)
    Pages (from-to)286-288
    Number of pages3
    JournalBaylor University Medical Center Proceedings
    Volume32
    Issue number2
    DOIs
    StatePublished - Apr 3 2019

    Keywords

    • Necrotizing fasciitis
    • Vibrio infections
    • Vibrio vulnificus
    • septicemia

    ASJC Scopus subject areas

    • Medicine(all)

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