Table. Clinical characteristics of 84 patients with Vibrio vulnificus infections who were treated at five major hospitals, Taiwan, 1995–2000.
Characteristic (no. of patients for whom information was available) | No. of patients (%) |
---|---|
Sex (n = 84) | |
Male/female | 61 (72.6)/23 (27.4) |
Age, mean/range (yr) | 60/9-87 |
Underlying disease (n = 84)a | |
Chronic hepatitis B or C virus infection | 10 (11.9) |
Liver cirrhosis | 35 (41.7) |
Hepatitis B or C virus infection-related | 21 |
Alcoholic | 7 |
Hepatoma | 7 |
Diabetes mellitus | 13 (15.5) |
Steroid use | 10 (11.9) |
Alcoholism | 8 ( 9.5) |
Renal insufficiency | 6 (7.1) |
Other malignancies | 3 (3.6) |
None | 12 (14.3) |
Type of infection (n = 84) | |
Cutaneous infection | 57 (67.9) |
Cellulitis | 15 (17.9) |
With bacteremia | 5 |
With septic shock | 6 |
Necrotizing fasciitis | 42 (50.0) |
With bacteremia | 2 |
With septic shock | 32 |
Primary septicemia | 20 (23.8) |
With septic shock | 3 |
Spontaneous bacterial peritonitis | 6 ( 7.1) |
Meningitis | 1 ( 1.2) |
Exposure history (n = 55) | |
Injury from handling marine animals (fish, crab) | 7 (12.7) |
Preexisting skin wounds | 11 (20.0) |
Ingestion of raw seafood | 2 ( 3.6) |
None | 35 (63.6) |
Initial antibiotic treatment (n = 82) | |
A third-generation cephalosporinb plus minocycline | 38 (46.3) |
A first-generation cephalosporin plus an aminoglycoside | 15 (18.3) |
Other combinationsc | 29 (35.4) |
Surgical treatment (cutaneous lesions, n = 57) | |
Incision and drainage, débridement and/or fasciotomy | 43 (75.4) |
Amputation | 6 (10.5) |
Outcome | |
Survived | 57 (67.9) |
Died | 25 (29.8) |
Unknown | 2 ( 2.4) |
aPatients might have more than two underlying diseases. bIncludes ceftazidime, cefotaxime, ceftriaxone, and moxalactam. cIncludes a penicillin or a first-generation cephalosporin plus an aminoglycoside or minocycline.