title: [Two case reports of septic shock due to Vibrio vulnificus with liver cirrhosis].
abstract: We have recently experienced a case of Vibrio vulnificus septicemia which occurred in a patient with hepatic cirrhosis, and as we were able to give early antibiotic treatment, the patient survived. We would like to report this case here together with another case experienced 2 years ago. Case 1 was a 58-year-old male who was attending our hospital as an outpatient for hepatic cirrhosis. At 5:30 pm on August 8, 1987, he consumed abalone and giant clam and at 9 pm complained of high fever with shaking chills. He was admitted to our department as an emergency case. Cefoperazone was administered resulting in a decline of fever on the following day. During the course of treatment he fell transiently into pre-DIC, but due mainly to the administration of antibiotics his condition was subsided. Case 2 was a 53-year-old male who was under medical care in our hospital for grave hepatic cirrhosis. On October 11, 1985, he consumed sushi and two days later suffered chills and pyrexia. A blood culture revealed Vibrio vulnificus. His condition improved transiently with administration of Cefazolin, but oliguria, hypotension and ascites occurred subsequently, and finally the patient died on the 22nd day.
authors.forename: M
authors.initials: M
authors.lastname: Tateyama
authors.forename: M
authors.initials: M
authors.lastname: Higa
authors.forename: T
authors.initials: T
authors.lastname: Kakazu
authors.forename: M
authors.initials: M
authors.lastname: Miyagi
authors.forename: K
authors.initials: K
authors.lastname: Shikiya
authors.forename: T
authors.initials: T
authors.lastname: Arakaki
authors.forename: H
authors.initials: H
authors.lastname: Kaneshima
authors.forename: Y
authors.initials: Y
authors.lastname: Irabu
authors.forename: K
authors.initials: K
authors.lastname: Shimoji
authors.forename: K
authors.initials: K
authors.lastname: Kitsukawa
mesh_terms: D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000209:etiology*; D012772:Shock, Septic / Q000209:etiology*; D014735:Vibrio Infections / Q000209:etiology*