title: A fish hook and liver disease: revisiting an old enemy.
abstract: Vibrio vulnificus is an uncommon but potentially devastating pathogen. Early recognition with prompt antimicrobial therapy and surgical treatment are key factors for a favorable outcome. Patients with diseases of the liver represent the group at highest risk of infection. However, clinicians are often unaware of underlying liver disease in these patients at the time of presentation. We present a case of fulminant V. vulnificus infection in a patient with previously undiagnosed liver disease.
authors.affiliation: Department of Internal Medicine, Louisiana State University, School of Medicine, New Orleans, USA.
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Lillis
authors.forename: Veronica
authors.initials: V
authors.lastname: Dugan
authors.forename: Theresa
authors.initials: T
authors.lastname: Mills
authors.forename: August
authors.initials: A
authors.lastname: Berner
authors.forename: Charles V
authors.initials: CV
authors.lastname: Sanders
authors.forename: Michael
authors.initials: M
authors.lastname: Hagensee
authors.forename: Fred A
authors.initials: FA
authors.lastname: Lopez
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D006801:Humans; D007869:Leg Injuries / Q000150:complications* / Q000382:microbiology; D008107:Liver Diseases / Q000150:complications*; D008297:Male; D012307:Risk Factors; D014733:Vibrio / Q000472:pathogenicity; D014735:Vibrio Infections / Q000150:complications* / Q000453:epidemiology / Q000628:therapy; D014950:Wounds, Penetrating / Q000150:complications* / Q000382:microbiology