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. 1991 Oct;155(4):400–403.

Vibrio vulnificus. Hazard on the half shell.

K L Koenig 1, J Mueller 1, T Rose 1
PMCID: PMC1003021  PMID: 1771878

Abstract

Vibrio vulnificus is an extremely invasive gram-negative bacillus that causes bacteremia and shock. It should be suspected in any patient who is immunocompromised or has liver disease or hemochromatosis. Reduced gastric acidity may also increase the risk of infection if a patient presents with a history of ingesting raw shellfish (especially oysters) or trauma in brackish waters and skin lesions. Patients most commonly present with one of three clinical syndromes: primary septicemia, wound infection, or gastroenteritis. Treatment includes aggressive wound debridement, antibiotic therapy, and supportive care. Rapidly diagnosing and promptly initiating therapy are critical because V vulnificus infection is rapidly progressive and mortality approaches 100% if septic shock occurs.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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