Presentation
These organisms are found in warm sea waters and are often present in raw oysters, shellfish, and other seafood. [ncbi.nlm.nih.gov]
Hemorrhagic bullae were present, extending from the hand to the upper arm. He also presented with confusion. [aafp.org]
The patient presented transitory improvement, but in the 12th day he presented worsening of symptoms and fungemia by Candida albicans, evolving to death in the 19th day of hospitalization. [scielo.br]
V. parahaemolyticus naturally inhabits coastal waters in the United States and Canada and is present in higher concentrations during summer. About Vibrio Infection V. parahaemolyticus facts, including common symptoms and how the disease is spread. [health.state.mn.us]
Entire Body System
- Fever
(see also Viral Hemorrhagic Fever ) Legionellosis (Legionnaire’s disease) Leprosy (Hansen’s Disease) Leptospirosis Listeriosis Lymphogranuloma Venereum (LGV) M Malaria Marburg Virus Hemorrhagic Fever (see also Viral Hemorrhagic Fever ) Melioidosis Measles [sfcdcp.org]
Signs and symptoms of Vibrio vulnificus infection can include: Watery diarrhea, often accompanied by stomach cramping, nausea, vomiting, and fever For bloodstream infection: fever, chills, dangerously low blood pressure, and blistering skin lesions For [cdc.gov]
If you notice any of this, or develop a fever, seek medical help immediately, because antibiotics improve survival. Aggressive attention should be given to the wound site. [pnj.com]
Signs and symptoms Vibrio parahaemolyticus infection causes symptoms of gastro including: watery diarrhoea (occasionally bloody diarrhoea) abdominal cramps nausea vomiting fever headache. [sahealth.sa.gov.au]
- Pain
It may start with intense pain with redness and swelling at the site of the wound. It can spread to affect much of the body, and can lead to tissue destruction. [health.govt.nz]
Where V. parahaemolyticus infects a wound, symptoms around the wound may include: pain redness warmth pus or discharge. Diagnosis Diagnosis is made by testing of faeces, wound swab or other clinical specimens. [sahealth.sa.gov.au]
The level of pain is out of proportion to the visible skin changes. Consuming food that is contaminated with V. vulnificus may occasionally cause diarrhoea, vomiting and abdominal pain. [chp.gov.hk]
- Fishing
Raw or undercooked oysters or other shell fish from the bay can also carry the bacteria and make those who eat the fish sick. [wtop.com]
BACKGROUND: Penetrating injury by fish fins is common and often overlooked. Vibrio spp. are known worldwide for their virulence, quickly causing soft-tissue infection and lethal septicaemia. [ncbi.nlm.nih.gov]
Fishermen in saltwater should carry basic disinfectant (chlorine bleach mixed 1 part bleach to 4 parts fresh water or tincture of iodine or antibiotic ointment) and apply it if the skin is punctured while handling fishing tackle, bait or fish. [louisianasportsman.com]
Lucie, died July 20 from a Vibrio vulnificus infection, two days after he was poked by the fin of a fish he'd just pulled from the lagoon. [eu.tcpalm.com]
- Fatigue
The patient may also experience fever, chills, fatigue and vomiting. Consuming food that is contaminated with V. vulnificus may occasionally cause fever, diarrhoea, vomiting and abdominal pain. [chp.gov.hk]
Necrotic lesions should be debrided and amputation may occasionally become necessary Key Findings Symptoms Abdominal Pain Chills Diarrhea Fatigue Fever Nausea Painful Skin Lesions Vomiting Signs Coma Confusion Hypotension Lymphadenopathy Stupor Swelling [logicalimages.com]
The most common symptoms include the following: Cellulitis – a not uncommon skin infection that may be accompanied by fever and associated symptoms such as chills, fatigue, malaise, and aching muscles. [loyno.edu]
- Malaise
But if patients experience redness or swelling around the wound, or they have chills, sweats and general malaise, they should head to the doctor. “Those are all alarm signals that the infection is severe and needs to be addressed,” says Pic-Aluas. [wtop.com]
The most common symptoms include the following: Cellulitis – a not uncommon skin infection that may be accompanied by fever and associated symptoms such as chills, fatigue, malaise, and aching muscles. [loyno.edu]
Respiratoric
- Respiratory Distress
Saharan dust also spurs the growth of algal blooms (red tide), which has toxins that can cause respiratory distress, and eye and skin irritation. Toxins from red tide have also killed a lot of aquatic life, birds, and marine animals. [forbes.com]
The patient became unresponsive to volume, had dyspnea and respiratory distress. He was transferred to the ICU and needed vasoactive drugs and mechanical ventilation. [scielo.br]
- Dyspnea
The patient became unresponsive to volume, had dyspnea and respiratory distress. He was transferred to the ICU and needed vasoactive drugs and mechanical ventilation. [scielo.br]
Gastrointestinal
- Diarrhea
Vibrio Infection Symptoms & Signs Diarrhea Diarrhea is an increase in the frequency of bowel movements or a decrease in the form of stool (greater looseness of stool). [medicinenet.com]
If diarrhea is present, close attention to volume repletion and replacement of lost electrolytes are needed. [msdmanuals.com]
V. parahaemolyticus, V. mimicus, and V. hollisae usually cause food-borne outbreaks of diarrhea, typically involving inadequately cooked seafood (usually shellfish). [merckmanuals.com]
The rates of ETEC diarrhea seems to have undergone a decrease compared to what has been described earlier although it is still the second most common cause of bacterial diarrhea [2], [5], [30], [46]. [journals.plos.org]
A doctor should check for this infection if you have watery diarrhea and have recently eaten seafood, especially if raw or undercooked, or when a wound or ear infection occurs after exposure to seawater. [nyc.gov]
- Abdominal Pain
If the bacteria is ingested, healthy people can experience vomiting, diarrhea and abdominal pain. [dailymail.co.uk]
Children signs of dehydration, such as thirst and decreased urination, lethargy, dry mouth, sunken eyes, feeling faint on standing fever abdominal pain bloody diarrhoea any symptoms in a child less than 12 months of age. [sahealth.sa.gov.au]
If eaten in food, symptoms of the infection include vomiting, diarrhea and abdominal pain. If contracted through a wound, the infection can cause skin breakdown and ulcers. [foodsafetynews.com]
- Nausea
Synonyms and Keywords wilderness: shellfish poisoning, gastrointestinal; food poisoning ; diarrhea ; abdominal cramps; vomiting; nausea [webmd.com]
Symptoms and signs resemble those of food poisoning and include watery diarrhea, abdominal cramping, nausea, vomiting, fever, and chills. Avoiding raw shellfish is one step toward prevention of vibriosis. [medicinenet.com]
Infection with Vibrio causes watery diarrhea, stomach cramps, nausea, vomiting, fever, and chills. Symptoms usually begin within 1 to 3 days of ingesting Vibrio. Vibrio can also cause a skin infection when open wounds are exposed to warm seawater. [health.state.mn.us]
Other symptoms of Vibrio vulnificus infection include; nausea, vomiting, abdominal pain, diarrhea, fever, chills and the formation of blistering skin lesions. [visitflorida.org]
Signs and symptoms of Vibrio vulnificus infection can include: Watery diarrhea, often accompanied by stomach cramping, nausea, vomiting, and fever For bloodstream infection: fever, chills, dangerously low blood pressure, and blistering skin lesions For [cdc.gov]
- Abdominal Cramps
Symptoms and signs resemble those of food poisoning and include watery diarrhea, abdominal cramping, nausea, vomiting, fever, and chills. Avoiding raw shellfish is one step toward prevention of vibriosis. [medicinenet.com]
Disease Information Vibrio are a species of bacteria that cause watery diarrhea and abdominal cramps. [oregon.gov]
Signs and symptoms Vibrio parahaemolyticus infection causes symptoms of gastro including: watery diarrhoea (occasionally bloody diarrhoea) abdominal cramps nausea vomiting fever headache. [sahealth.sa.gov.au]
For Healthcare Professionals Symptoms of Vibrio illness include watery diarrhea, often accompanied by abdominal cramping, nausea, vomiting, fever, and chills. Vibrio bacteria can also cause wound or soft tissue infections. [dph.georgia.gov]
Synonyms and Keywords wilderness: shellfish poisoning, gastrointestinal; food poisoning ; diarrhea ; abdominal cramps; vomiting; nausea [webmd.com]
- Food Poisoning
The bacteria can lead to serious and sometimes lethal skin infections or food poisoning. If it causes serious food poisoning, you may need to be hospitalized. [webmd.com]
(MORE: 6 Scary Diseases You Can Catch While Swimming ) At its mildest, after ingestion, the infection can cause a stomach flu similar to other forms of food poisoning. [weather.com]
Useful links Hand hygiene Keeping areas clean Preventing food poisoning at home Collecting a faecal sample Exclusion periods from childcare, preschool, school and work 1 – In South Australia the law requires doctors and laboratories to report some infections [sahealth.sa.gov.au]
Cardiovascular
- Hypotension
Symptoms appeared within a few hours to 3 days after injury, with 50% of patients developing symptoms within 24h; three patients were hypotensive upon admission; one patient received antibiotic therapy only and eight required emergency fasciotomy. [ncbi.nlm.nih.gov]
Diagnostic Pearls Vibrio septicemia is characterized by the abrupt onset of chills, fever, headache, myalgias, vomiting, and diarrhea 24 to 48 hours after ingestion of raw oysters, and sometimes followed by hypotension. [logicalimages.com]
Over 50% of the patients with primary septicemia die and the mortality rate exceeds 90% among those who become hypotensive. [ehagroup.com]
Soon after the admission, he evolved with septic shock, respiratory failure needing mechanic ventilation and hypotension not responsive to volume replacement, needing vasoactive drugs in high doses. [scielo.br]
Systemic symptoms include fever and chills.12,13 Almost one half of patients develop bacteremia,13,14 more than 10 percent develop hypotension, and almost one third develop changes in mental status.12 Rarely, patients with V. vulnificus infection present [aafp.org]
Skin
- Blister
In extreme cases, the bacteria can lead to blood infections (half of which are fatal, according to the Centers for Disease Control and Prevention ), possible amputation and blistering skin lesions. [cnn.com]
Fluid-filled blisters and deep ulcers may develop. Occasionally there is rapid and severe tissue destruction requiring aggressive surgical cleaning of the wound or amputation. [conditions.health.qld.gov.au]
There may be ulcers, blisters or black spots on the skin. The level of pain may be out of proportion to the visible skin changes. The patient may also experience fever, chills, fatigue and vomiting. [chp.gov.hk]
- Ulcer
Fatal about 50 percent of the time, the flesh-eating bacteria causes skin breakdown and ulceration, according to a release. [louisianasportsman.com]
[…] bacteria has been linked to nine deaths in Florida just this year Mr Konietzky, 59, had been setting crab traps knee-deep in the seawater The bacteria normally lives in warm seawater and can be contracted by eating raw seafood or by infecting a skin ulceration [dailymail.co.uk]
Vibrio vulnificus causes severe skin ulcers, gangrene, and deadly blood infections in people who expose cuts to warm saltwater containing the bacteria, as well as diarrheal illnesses in people who eat shellfish infected with Vibrio. [thebaynet.com]
If contracted through a wound, the infection can cause skin breakdown and ulcers. Shellfish (oysters, clams and mussels) should be thoroughly cooked and eaten promptly after cooking, and raw shellfish should be avoided, health officials advise. [foodsafetynews.com]
If an open wound or puncture comes into contact with the bacteria, the area around the wound can experience swelling, redness, pain, blistering and ulceration of the skin. 4. Infection can be avoided. [chesapeakebay.net]
- Skin Ulcer
Vibrio vulnificus causes severe skin ulcers, gangrene, and deadly blood infections in people who expose cuts to warm saltwater containing the bacteria, as well as diarrheal illnesses in people who eat shellfish infected with Vibrio. [thebaynet.com]
[…] can become infected, leading to a breakdown and ulceration of the skin. [dailymail.co.uk]
If an infection progresses to the bloodstream and causes skin ulcerations there is a potential to develop gangrene, or decomposition of body tissue, which may require skin-grafting or amputation. [newsweek.com]
Applied and Environmental Microbiology, 60(2):732-737. ↑ Love, M., Teebken-Fisher, D., Hose, J.E., Farmer, J.J., Hickman, F.W., Fanning, G.R., (1981) Vibrio damsela, a marine bacterium, causes skin ulcers on the damselfish Chromis punctipinnis. [en.wikivet.net]
Urogenital
- Kidney Failure
Oxygen may be given as well, or if lung failure is a concern, a breathing machine will be used. If there is kidney failure present, then dialysis is a common conventional treatment. [draxe.com]
- Renal Insufficiency
RESULTS: In our group of nine patients, seven had concurrent hepatoma, diabetes mellitus, cirrhosis, chronic renal insufficiency or the effects of long-term steroid use; three had wound infections manifested by cellulitis or tenosynovitis and six had [ncbi.nlm.nih.gov]
Neurologic
- Confusion
Vibrio food-borne infection include the normal foodborne illness symptoms of nausea, vomiting and diarrhea but may also include fever, sepsis (infection of the blood), and other severe or life-threatening conditions like shock (rapid onset of dizziness, confusion [epi.publichealth.nc.gov]
Either type of infection (wound infections or gastrointestinal illness) may be complicated by life-threatening blood stream infections, with fevers and chills, blood-tinged blistering skin lesions, decreased blood pressure, confusion, altered consciousness [conditions.health.qld.gov.au]
Necrotic lesions should be debrided and amputation may occasionally become necessary Key Findings Symptoms Abdominal Pain Chills Diarrhea Fatigue Fever Nausea Painful Skin Lesions Vomiting Signs Coma Confusion Hypotension Lymphadenopathy Stupor Swelling [logicalimages.com]
- Headache
Signs and symptoms Vibrio parahaemolyticus infection causes symptoms of gastro including: watery diarrhoea (occasionally bloody diarrhoea) abdominal cramps nausea vomiting fever headache. [sahealth.sa.gov.au]
The following may occur: nausea vomiting fever headache bloody stools The time from infection to symptoms is from 12 to 24 hours, but can range from four to 96 hours. [bccdc.ca]
Diagnostic Pearls Vibrio septicemia is characterized by the abrupt onset of chills, fever, headache, myalgias, vomiting, and diarrhea 24 to 48 hours after ingestion of raw oysters, and sometimes followed by hypotension. [logicalimages.com]
- Agitation
Conscious, oriented, agitated, without motor impairment, with isochoric and photo reagent pupils. Inferior members. Presence of hyperemia on the right ankle. [scielo.br]
Workup
Serum
- Leukopenia
Patients with a systolic blood pressure of < or =90 mm Hg and leukopenia in the emergency room had a significantly higher mortality rate (p < 0.05). [ncbi.nlm.nih.gov]
Leukocytosis or leukopenia. Thrombocytopenia at later stages. Elevated liver enzymes. Management Pearls Admit to intensive care, treat with aggressive IV hydration, and involve an infectious disease specialist. [logicalimages.com]
Other bad prognostic signs included a systolic blood pressure of less than or equal to 90 mm Hg, decreased platelet counts, and leukopenia. The combination of hepatic dysfunction and diabetes mellitus was also associated with a poor outcome. [emedicine.medscape.com]
The presence of leukopenia and hypotension early during hospitalization portends a worse prognosis and an increased risk of death, with a median duration from hospital admission to death of 2 days [ 22 ]. [cid.oxfordjournals.org]
- Decreased Platelet Count
Other bad prognostic signs included a systolic blood pressure of less than or equal to 90 mm Hg, decreased platelet counts, and leukopenia. The combination of hepatic dysfunction and diabetes mellitus was also associated with a poor outcome. [emedicine.medscape.com]
[…] confusion Decreased platelet count Abdominal pain, nausea and diarrhea In some cases the infection causes swelling in the lymph nodes (called lymphadenitis ). [draxe.com]
Microbiology
- Vibrio Vulnificus
Vibrio vulnificus is most common in warm waters in Gulf states, Adalja says, but he points out that 100 percent of Chesapeake Bay oysters have Vibrio vulnificus in them. [yahoo.com]
How common is Vibrio vulnificus infection? Vibrio vulnificus is a rare cause of disease, but it is also underreported. [floridahealth.gov]
Vibrio vulnificus is a naturally occurring bacterium that lives in warm saltwater and infects humans through the consumption of undercooked shellfish and skin wounds. [cnn.com]
There is no evidence of person-to-person transmission of Vibrio vulnificus. [conditions.health.qld.gov.au]
- Vibrio Parahaemolyticus
Vibrio parahaemolyticus infection is a notifiable condition1 How Vibrio parahaemolyticus is spread Vibrio parahaemolyticus infection can be acquired by eating raw or undercooked shellfish or drinking contaminated water. [sahealth.sa.gov.au]
Cholera (toxigenic Vibrio cholerae 01 or 0139) Vibrio parahaemolyticus Vibrio vulnificus Other Vibrio infections [dshs.state.tx.us]
Cholera (toxigenic Vibrio cholerae 01 or 0139) Vibrio parahaemolyticus Vibrio vulnificus Other Vibrio infections Last updated April 14, 2022 [dshs.texas.gov]
Treatment
The treatment should begin as early as possible, essentially when the patient has symptoms of sepsis. [ncbi.nlm.nih.gov]
If it starts to get inflamed, get immediate medical treatment." In most cases, treatment with antibiotics will stop the infection. But not always. [infectioncontroltoday.com]
Treatment Antibiotic treatment is not usually needed for V. parahaemolytiticus gastro, however, in cases with prolonged diarrhoea, antibiotic therapy may be needed. [sahealth.sa.gov.au]
Prognosis
The purposes of the present report were to describe a series of patients who had this potentially lethal infection and to identify clinical features associated with a poor prognosis. [ncbi.nlm.nih.gov]
Prognosis varies with the host's underlying comorbidity and the clinical presentation of the infection. Non-cholera Vibrio infections are infections caused by Vibrio species other than V cholerae. [bestpractice.bmj.com]
Stool cultures require a thiosulfate citrate bile salts sucrose agar for isolation.24 Treatment and Prognosis The recommended antibiotic therapy for V. vulnificus infection is doxycycline, 100 mg intravenously or orally (Vibramycin) twice a day; plus [aafp.org]
Once a bloodstream infection occurs, the prognosis is grim: About 50 percent of V. vulnificus bloodstream infections are fatal, according to the Florida Department of Health. [livescience.com]
There is also a worse prognosis with diabetes or immunosuppression. Mortality for primary V. vulnificus septicemia is greater than 50%. [logicalimages.com]
Etiology
[…] of diseases in human communities. 2. the field of medicine concerned with the determination of the specific causes of localized outbreaks of infection, such as hepatitis, of toxic disorders, such as lead poisoning, or any other disease of recognized etiology [vdh.virginia.gov]
V. cho´lerae is the etiologic agent of Asiatic cholera ; V. metschniko´vii causes gastroenteritis ; V. parahaemoly´ticus causes gastroenteritis due to the consumption of raw or improperly cooked seafood (especially in Japan); and V. vulni´ficus causes [medical-dictionary.thefreedictionary.com]
University of Oklahoma Study Abroad Microbiology in Arezzo, Italy [1] Etiology/Bacteriology Taxonomy | Domain = Bacteria | Phylum = Proteobacteria | Class = Gammaproteobacteria | Order = Vibrionales | Family = Vibrionaceae | Genus = Vibrio | species = [microbewiki.kenyon.edu]
Table 218,19 presents etiologies for the differential diagnosis of aggressive soft tissue infection. Most of these infections involve a group A Streptococcus species or Staphylococcus aureus. [aafp.org]
To better understand the etiology of diarrheal disease we carried out a demographic, clinical and microbiological outcome analyses. [journals.plos.org]
Epidemiology
Bulletin Archive Contact Us Laurie Forlano, DO, MPH, State Epidemiologist Director, Office of Epidemiology 109 Governor Street, 6th Floor East Richmond, VA 23219 Phone: (804) 864-8141 Fax: (804) 864-8139 Contact Us by Email [vdh.virginia.gov]
Weekly epidemiological record. Weekly epidemiological record 92, 437–452 (2017). World Health Organization. Weekly epidemiological record. Weekly epidemiological record 92, 301–320 (2017). Google Scholar Khan, A. I. et al. [nature.com]
Results Epidemiological observations. NFVIs accounted for 1210 (25%) of 4754 reported Vibrio species-related illnesses. [academic.oup.com]
Articles from Epidemiology and Infection are provided here courtesy of Cambridge University Press [ncbi.nlm.nih.gov]
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
Pathophysiology
Pathophysiology V vulnificus infects the body in 2 ways, either by exposure to contaminated seafood, such as raw oysters, or through an open wound exposed to contaminated seawater. [emedicine.medscape.com]
Prevention
Prevent cross-contamination in the kitchen by washing hands, cutting boards, countertops, knives, utensils, and other surfaces after handling raw foods. To prevent skin infections, avoid exposing open wounds to warm seawater. [health.state.mn.us]
Prevention Infections with V. parahaemolyticus can be prevented by the following measures: Exclude people with Vibrio parahaemolyticus infection from childcare, preschool, school and work until there has been no diarrhoea for 24 hours. [sahealth.sa.gov.au]
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Cholera can be life-threatening but it is easily prevented and treated. [cdc.gov]