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Fatal vibrio parahemolyticus septicemia in a patient with cirrhosis : a case report and review of the literature

Vibrio parahemolyticus has been well documented to cause outbreaks of infectious diarrhea, usually related to poor food handling; only rarely has it been reported to cause fetal septicemia. In contrast, Vibrio vulnificus is a well-known cause of septicemia, especially in patients with cirrhosis. A 3...

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Published in:	Digestive diseases and sciences 1995-06, Vol.40 (6), p.1257-1260
Main Authors:	HALLY, R. J, RUBIN, R. A, FRAIMBOW, H. S, HOFFMAN-TERRY, M. L
Format:	Article
Language:	English
Subjects:	Adult Animals Biological and medical sciences Decapoda (Crustacea) Emergencies Fatal Outcome Female Foodborne Diseases - diagnosis Foodborne Diseases - etiology Gastroenterology. Liver. Pancreas. Abdomen Hepatitis C - complications Humans Liver Cirrhosis, Alcoholic - complications Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Ostreidae Other diseases. Semiology Sepsis - diagnosis Sepsis - etiology Vibrio Infections - diagnosis Vibrio Infections - etiology Vibrio parahaemolyticus
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container_title	Digestive diseases and sciences
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creator	HALLY, R. J RUBIN, R. A FRAIMBOW, H. S HOFFMAN-TERRY, M. L
description	Vibrio parahemolyticus has been well documented to cause outbreaks of infectious diarrhea, usually related to poor food handling; only rarely has it been reported to cause fetal septicemia. In contrast, Vibrio vulnificus is a well-known cause of septicemia, especially in patients with cirrhosis. A 31-year-old woman with cirrhosis who developed fatal V. parahemolyticus sepsis after ingesting raw seafood is described. We review the clinical syndromes associated with sepsis caused by these two organisms. Leg pain and bullous skin lesions may be a clue to the diagnosis. Febrile patients with cirrhosis should be questioned regarding recent seafood ingestion, and appropriate antibiotics chosen if this history is obtained. Physicians should inform patients at risk to avoid raw seafood in an attempt to prevent this potentially lethal syndrome.
doi_str_mv	10.1007/BF02065534
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Physicians should inform patients at risk to avoid raw seafood in an attempt to prevent this potentially lethal syndrome.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/BF02065534</identifier><identifier>PMID: 7781443</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Animals ; Biological and medical sciences ; Decapoda (Crustacea) ; Emergencies ; Fatal Outcome ; Female ; Foodborne Diseases - diagnosis ; Foodborne Diseases - etiology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatitis C - complications ; Humans ; Liver Cirrhosis, Alcoholic - complications ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Ostreidae ; Other diseases. 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S</creatorcontrib><creatorcontrib>HOFFMAN-TERRY, M. L</creatorcontrib><title>Fatal vibrio parahemolyticus septicemia in a patient with cirrhosis : a case report and review of the literature</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><description>Vibrio parahemolyticus has been well documented to cause outbreaks of infectious diarrhea, usually related to poor food handling; only rarely has it been reported to cause fetal septicemia. In contrast, Vibrio vulnificus is a well-known cause of septicemia, especially in patients with cirrhosis. A 31-year-old woman with cirrhosis who developed fatal V. parahemolyticus sepsis after ingesting raw seafood is described. We review the clinical syndromes associated with sepsis caused by these two organisms. Leg pain and bullous skin lesions may be a clue to the diagnosis. Febrile patients with cirrhosis should be questioned regarding recent seafood ingestion, and appropriate antibiotics chosen if this history is obtained. Physicians should inform patients at risk to avoid raw seafood in an attempt to prevent this potentially lethal syndrome.</description><subject>Adult</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Decapoda (Crustacea)</subject><subject>Emergencies</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Foodborne Diseases - diagnosis</subject><subject>Foodborne Diseases - etiology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepatitis C - complications</subject><subject>Humans</subject><subject>Liver Cirrhosis, Alcoholic - complications</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Ostreidae</subject><subject>Other diseases. 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Semiology</topic><topic>Sepsis - diagnosis</topic><topic>Sepsis - etiology</topic><topic>Vibrio Infections - diagnosis</topic><topic>Vibrio Infections - etiology</topic><topic>Vibrio parahaemolyticus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HALLY, R. J</creatorcontrib><creatorcontrib>RUBIN, R. A</creatorcontrib><creatorcontrib>FRAIMBOW, H. S</creatorcontrib><creatorcontrib>HOFFMAN-TERRY, M. L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HALLY, R. J</au><au>RUBIN, R. A</au><au>FRAIMBOW, H. S</au><au>HOFFMAN-TERRY, M. L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fatal vibrio parahemolyticus septicemia in a patient with cirrhosis : a case report and review of the literature</atitle><jtitle>Digestive diseases and sciences</jtitle><addtitle>Dig Dis Sci</addtitle><date>1995-06-01</date><risdate>1995</risdate><volume>40</volume><issue>6</issue><spage>1257</spage><epage>1260</epage><pages>1257-1260</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><coden>DDSCDJ</coden><abstract>Vibrio parahemolyticus has been well documented to cause outbreaks of infectious diarrhea, usually related to poor food handling; only rarely has it been reported to cause fetal septicemia. In contrast, Vibrio vulnificus is a well-known cause of septicemia, especially in patients with cirrhosis. A 31-year-old woman with cirrhosis who developed fatal V. parahemolyticus sepsis after ingesting raw seafood is described. We review the clinical syndromes associated with sepsis caused by these two organisms. Leg pain and bullous skin lesions may be a clue to the diagnosis. Febrile patients with cirrhosis should be questioned regarding recent seafood ingestion, and appropriate antibiotics chosen if this history is obtained. Physicians should inform patients at risk to avoid raw seafood in an attempt to prevent this potentially lethal syndrome.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>7781443</pmid><doi>10.1007/BF02065534</doi><tpages>4</tpages></addata></record>
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language	eng
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source	Springer Archives (Through 1996)
subjects	Adult Animals Biological and medical sciences Decapoda (Crustacea) Emergencies Fatal Outcome Female Foodborne Diseases - diagnosis Foodborne Diseases - etiology Gastroenterology. Liver. Pancreas. Abdomen Hepatitis C - complications Humans Liver Cirrhosis, Alcoholic - complications Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Ostreidae Other diseases. Semiology Sepsis - diagnosis Sepsis - etiology Vibrio Infections - diagnosis Vibrio Infections - etiology Vibrio parahaemolyticus
title	Fatal vibrio parahemolyticus septicemia in a patient with cirrhosis : a case report and review of the literature
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