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Vibrio vulnificus.

H Ratner1

  • 1Clinical Microbiology Laboratory, Vanderbilt University, Nashville, Tennessee 37232.

Infection Control : IC
|October 1, 1987
PubMed
Summary
This summary is machine-generated.

Vibrio vulnificus is a dangerous bacterium found in coastal waters and shellfish. It causes severe wound infections and life-threatening septicemia, particularly in individuals with liver disease.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Vibrio vulnificus is a salt-requiring bacterium found in marine environments.
  • It is distinct from other vibrios due to lactose fermentation and lower salt tolerance.
  • Unlike other vibrios, V. vulnificus rarely causes gastroenteritis but leads to severe infections.

Purpose of the Study:

  • To detail the clinical manifestations and epidemiology of Vibrio vulnificus infections.
  • To highlight the distinct disease patterns caused by V. vulnificus.
  • To emphasize the high mortality associated with V. vulnificus septicemia.

Main Methods:

  • Clinical case review and epidemiological data analysis.
  • Bacteriological differentiation of V. vulnificus.

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  • Correlation of infection source with clinical outcomes.

    • Main Results:

    • V. vulnificus causes severe wound infections in healthy individuals and primary septicemia in those with chronic liver disease.
    • Wound infections are linked to seawater or shellfish contact, with a 15% mortality rate.
    • Septicemia, associated with raw oyster consumption, presents with hypotension and bullous skin lesions, carrying a >50% mortality rate.

    Conclusions:

    • Vibrio vulnificus is a significant public health threat in coastal areas.
    • Prompt recognition and treatment are crucial for improving outcomes in V. vulnificus infections.
    • Consumption of raw shellfish poses a high risk for severe V. vulnificus septicemia.