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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
| ArticleTitle |
A Case of Vibrio vulnificus Infection Occurring in the Winter Season |
| Language |
J |
| AuthorList |
Rie Horita1), Kouji Hashimoto1), Kazunori Nakata1), Kanta Kikuma2), Kimitaka Sagawa, MD1) |
| Affiliation |
1) Department of Laboratory Medicine, Kurume University Hospital
2) Emergency and Critical Care Medical Center, Kurume University Hospital |
| Publication |
J.J.C.M.: 16 (1), 1-7, 2006 |
| Received |
May 16, 2005 |
| Accepted |
November 17, 2005 |
| Abstract |
We report a rare case of Vibrio vulnificus infection that occurred in the winter season. A 79 year-old single male with liver cirrhosis ate raw Atrina pectinata shellfish in his house on November 14, 2004. On November 17 a neighbor discovered him lying in bed, unable to walk due to severe leg pain that had started soon after he had eaten the raw shellfish meat. He was admitted to the Emergency and Critical Care Medical Center of Kurume University Hospital. Physical examination of the patient revealed Japan Coma Scale 1, respiratory rate 20/min, body temperature 33.6° C, pulse rate 76/min, blood pressure 74/- mmHg, red-purple colored change of the lower extremities, and enlarged right lower extremity. The right lower extremity was sectioned in order to relieve the higher pressure. The sectioned leg exhibit a bad smell, necrotized muscles, and exudates. Although intensive therapies were applied, the patient was expired on November 18. Pathological analysis of the right-leg muscles obtained from the autopsied patient showed typical features of V. vulnificus infection. |
| Keywords |
Vibrio vulnificus, V. vulnificus infection in winter season, import of fresh fish and shellfishes |
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