Vibrio vulnificus infection in a hemodialysis patient receiving intravenous iron therapy.
A 73-year-old man treated with long-term hemodialysis, erythropoietin, and intravenous iron sucrose infusions developed Vibrio vulnificus infection after eating raw oysters harvested from the Alabama coast. Five of the 31 persons with cases of V. vulnificus infection reported to the Alabama Department of Public Health (Montgomery) during 1996-2002 (including the patient described here) also had renal disease. Persons with renal disease, especially those treated with long-term hemodialysis and intravenous iron infusions, may have an increased risk of infection with V. vulnificus.
Barton
James C
JC
Southern Iron Disorders Center, Department of Medicine, Brookwood Medical Center, Birmingham, AL 35209, USA. ironmd@dnamail.com
Coghlan
Michael E
ME
Reymann
Michael T
MT
Ozbirn
Thomas W
TW
Acton
Ronald T
RT
D000368:Aged; D000818:Animals; D005290:Ferric Compounds / Q000008:administration & dosage*; D000077605:Ferric Oxide, Saccharated; D005937:Glucaric Acid; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D010125:Ostreidae / Q000382:microbiology*; D006435:Renal Dialysis / Q000379:methods*; D013395:Sucrose / Q000008:administration & dosage*; D014735:Vibrio Infections / Q000382:microbiology*; D041261:Vibrio vulnificus / Q000302:isolation & purification*
D005290:Ferric Compounds; D013395:Sucrose; D000077605:Ferric Oxide, Saccharated; D005937:Glucaric Acid