[A successful treatment of Vibrio vulnificus infection].
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.
Sasaki
Eisuke
E
Izumikawa Hospital, Department of Laboratory Medicine, Nagasaki University School of Medicine.
Yamanouchi
Hirotsugu
H
Shioshita
Kei
K
Hayakawa
Tomoichiro
T
Izumikawa
Koichi
K
Izumikawa
Kinichi
K
Hara
Kohei
K
Hirakata
Yoichi
Y
Kohno
Shigeru
S
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
D000900:Anti-Bacterial Agents; D010406:Penicillins; D002981:Clindamycin; D010878:Piperacillin