Presentation
These organisms are found in warm sea waters and are often present in raw oysters, shellfish, and other seafood. [ncbi.nlm.nih.gov]
This paper will present methods of isolation of initial cultures, transport, and isolation of pure cultures as well as biochemical data on each of the isolated species. [vin.com]
In the case presented here, the organism was successfully identified by a commercial automated system, but automated detection systems can be inaccurate in the identification of Vibrio species ( 3 ). [jcm.asm.org]
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]
Entire Body System
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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]
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]
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]
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Fishing
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]
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]
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]
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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]
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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]
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Pathologist
Perez, MD, Associate Pathologist, Department of Pathology and Laboratory Medicine, Wellington Regional Medical Center, West Palm Beach Click here for Patient Education Noncholera vibrios include the gram-negative bacteria Vibrio parahaemolyticus, V. mimicus [merckmanuals.com]
Gastrointestinal
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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]
Therefore the following signs and symptoms are present: Nausea Vomiting Abdominal pain or cramps Diarrhea Fever Chills The diarrhea results in profuse watery stool. [healthhype.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]
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Abdominal Pain
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]
Other symptoms of Vibrio vulnificus infection include; nausea, vomiting, abdominal pain, diarrhea, fever, chills and the formation of blistering skin lesions. [visitflorida.org]
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]
Eating raw shellfish – especially oysters – contaminated with Vibrio may cause vomiting, diarrhea and abdominal pain. [msdh.ms.gov]
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Overeating
People over the age of 60 and anyone with a weakened immune system are particularly vulnerable to serious infections. Last year 57 cases of vibrio infection were reported, the highest number in a decade. [wtop.com]
Jun;133(3):383-91. 3 Fishermen should prepare this solution daily, as bleach solutions weaken over time. [waterandhealth.org]
Without treatment, death can occur within hours. () An estimated 3-5 million cases of cholera and over 100,000 deaths occur each year around the world. [flybase.org]
These cases occur almost exclusively in males over the age of 50 years. [ncbi.nlm.nih.gov]
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Nausea
Other symptoms of Vibrio vulnificus infection include; nausea, vomiting, abdominal pain, diarrhea, fever, chills and the formation of blistering skin lesions. [visitflorida.org]
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]
If you notice any symptoms of fever, nausea or vomiting, diarrhea, or stomach pain after eating shellfish or crabs, or if there is increased swelling, redness, pain, or blistering at the site of a cut or sore, call your health care provider immediately [thebaynet.com]
Symptoms of 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 [epi.publichealth.nc.gov]
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Food Poisoning
(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]
Otherwise you are likely to get a nasty case of food poisoning. Edited: 5:07 pm, September 30, 2013 Level Contributor 54 posts 87 reviews 69 helpful votes OK!!! Thanks guys, feel better! Two more days!!!!! [tripadvisor.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]
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]
Cardiovascular
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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]
Over 50% of the patients with primary septicemia die and the mortality rate exceeds 90% among those who become hypotensive. [ehagroup.com]
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]
Medical therapy consists of: Prompt initiation of effective antibiotic therapy (doxycycline or a quinolone) Intensive medical therapy with aggressive fluid replacement and vasopressors for hypotension and septic shock to correct acid-base and electrolytes [en.wikipedia.org]
Skin
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Blister
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]
Other symptoms of Vibrio vulnificus infection include; nausea, vomiting, abdominal pain, diarrhea, fever, chills and the formation of blistering skin lesions. [visitflorida.org]
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]
Neurologic
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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]
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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]
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]
She denied any accompanying symptom such as fever, chills, headache, tinnitus, hearing impairment, diarrhea, or flatulence. She did not have a history of diabetes mellitus, end-stage renal disease, liver cirrhosis, or an immunocompromised condition. [hindawi.com]
Symptoms include watery and/or bloody diarrhea, nausea, vomiting, abdominal cramps, headache, fever, and chills. Symptoms can occur anywhere from 4 to 36 hours after consumption but generally start after about 15 hours. [blogs.ifas.ufl.edu]
Workup
Serum
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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]
platelet count Abdominal pain, nausea and diarrhea In some cases the infection causes swelling in the lymph nodes (called lymphadenitis ). [draxe.com]
Microbiology
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Vibrio Vulnificus
How common is Vibrio vulnificus infection? Vibrio vulnificus is a rare cause of disease, but it is also underreported. [visitflorida.org]
There is no evidence of person-to-person transmission of Vibrio vulnificus. [conditions.health.qld.gov.au]
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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]
For Additional Information CDC: Vibrio parahaemolyticus and Vibrio vulnificus fact sheets [epi.publichealth.nc.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]
Individuals experiencing these symptoms should contact a physician immediately for diagnosis and treatment. [visitflorida.org]
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]
Prognosis Vibrio vulnificus infection is an acute illness that is quickly resolved with antibiotics and does not have any long-term consequences. The prognosis is often excellent with proper treatment. [emedicine.medscape.com]
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]
To better understand the etiology of diarrheal disease we carried out a demographic, clinical and microbiological outcome analyses. [journals.plos.org]
This new clonal subgroup emphasizes that the fish aquaculture environment, and possibly manmade ecological niches as a whole, may be a source of new pathogenic strains. [5] Etiology See Pathophysiology. It is seen in a variety of seafood. [emedicine.medscape.com]
Clinicians should consider Vibrio species as an etiologic agent in infections occurring in persons with recent seawater exposure, even if the individual was only exposed during recreational marine activities. [academic.oup.com]
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]
Results Epidemiological observations. NFVIs accounted for 1210 (25%) of 4754 reported Vibrio species-related illnesses. [academic.oup.com]
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
To contact the Epidemiology and Emerging Infections Program, please call 860-509-7994. [ct.gov]
In this study, we sought to define the characteristic epidemiology of V. vulnificus infection and clarify its diagnosis at the global level. [scielo.br]
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
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]
Prevention of Vibriosis Vibriosis can be prevented in the maority of cases. People who handle seafood on an occupational basis are at a greater risk and protective wear, such as waterproof gloves, should be madatory. [healthhype.com]
How can this infection be prevented? Some tips for preventing noncholera Vibrio infections, particularly among immunocompromised patients, including those with underlying liver disease: Do not eat raw oysters or other raw shellfish. [ct.gov]
Prevention Some tips for preventing V. vulnificus infection, particularly among people with impaired immune response or with underlying medical illnesses include: Avoid having the wound coming in contact with seawater or raw seafood. [chp.gov.hk]