title: [A successful treatment of Vibrio vulnificus infection].
abstract: A 65-year-old male patient with a history of alcoholism visited our outpatient clinic complaining of nausea and diarrhea followed by dizziness. Erythema and swelling with partial exfoliation on the right forearm to hand and right thigh were noticed. Vibrio vulnificus was isolated from the purulent discharge of the skin. Due to urgent and intensive treatment of bacterial shock and antimicrobial drugs, the patient fully recovered three months later. We believe that the patient survived from this fatal infection because; 1) the isolates were highly sensitive to a wide variety of antibiotics, 2) the antibiotic therapy was started immediately, with an alternative usage of different antibiotics, and 3) the liver dysfunction of the patient had not been severely damaged by alcohol before the infection.
authors.affiliation: Izumikawa Hospital, Department of Laboratory Medicine, Nagasaki University School of Medicine.
authors.forename: Eisuke
authors.initials: E
authors.lastname: Sasaki
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Yamanouchi
authors.forename: Kei
authors.initials: K
authors.lastname: Shioshita
authors.forename: Tomoichiro
authors.initials: T
authors.lastname: Hayakawa
authors.forename: Koichi
authors.initials: K
authors.lastname: Izumikawa
authors.forename: Kinichi
authors.initials: K
authors.lastname: Izumikawa
authors.forename: Kohei
authors.initials: K
authors.lastname: Hara
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Hirakata
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002981:Clindamycin / Q000008:administration & dosage*; D004359:Drug Therapy, Combination / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D010406:Penicillins / Q000008:administration & dosage* / Q000494:pharmacology; D010878:Piperacillin / Q000008:administration & dosage* / Q000494:pharmacology; D014733:Vibrio / Q000187:drug effects / Q000302:isolation & purification; D014735:Vibrio Infections / Q000188:drug therapy* / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents; D010406:Penicillins; D002981:Clindamycin; D010878:Piperacillin