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Vibrio vulnificus
From WikEM
Contents
Background
- History of handling or ingestion of raw seafood (most commonly oysters)
- Handling: rapid cellulitis that progresses to hemorrhagic bullae and purpura fulminans
- Ingestion: vomiting, diarrhea, or abdominal pain, and may present with fever, chills, or shock
- Patients with cirrhosis at high risk
- Severe Complications[1]
- Necrotizing fasciitis and septicemia
- Immediate and intensive empirical antibiotic treatment
- Surgical debridement in suspected cases
Vibrio species
- Vibrio cholerae
- Vibrio vulnificus
- Vibrio parahemolyticus
Background
Clinical Features
Differential Diagnosis
Evaluation
Management
Antibiotic Sensitivities[2]
Key
- S susceptible/sensitive (usually)
- I intermediate (variably susceptible/resistant)
- R resistant (or not effective clinically)
- S+ synergistic with cell wall antibiotics
- U sensitive for UTI only (non systemic infection)
- X1 no data
- X2 active in vitro, but not used clinically
- X3 active in vitro, but not clinically effective for Group A strep pharyngitis or infections due to E. faecalis
- X4 active in vitro, but not clinically effective for strep pneumonia
Table Overview
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See Also
References
- ↑ Choi HJ, Lee DK, Lee MW, Choi JH, Moon KC, Koh JK. Vibrio vulnificus septicemia presenting as purpura fulminans. J Dermatol. Jan 2005;32(1):48-51.
- ↑ Sanford Guide to Antimicrobial Therapy 2014
