[A patient with Vibrio vulnificus meningoencephalitis].
A 76-year-old man with liver cirrhosis and diabetes mellitus was admitted to our hospital because of bacterial meningoencephalitis. He had eaten raw fish 2 days before onset. He also developed septic shock, disseminated intravascular coagulation, adult respiratory distress syndrome and panophthalmitis of the right eye. Vibrio vulnificus was isolated from the blood culture. Extensive therapy including antibiotics and nafamostat methylate, resulted in full recovery except for right blindness. The necrotizing fasciitis, which is common with Vibrio vulnificus infection, had not been complicated in this patient.
Sato
Tatsuya
T
Stroke Center, Saiseikai Kumamoto Hospital.
Inatomi
Yuichiro
Y
Yonehara
Toshiro
T
Fujioka
Shodo
S
Hashimoto
Yoichiro
Y
Hirano
Teruyuki
T
Uchino
Makoto
M
D000368:Aged; D000818:Animals; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001550:Benzamidines; D009877:Endophthalmitis / Q000209:etiology; D005399:Fishes / Q000382:microbiology; D005517:Foodborne Diseases / Q000150:complications; D006146:Guanidines / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D014735:Vibrio Infections / Q000188:drug therapy; D041261:Vibrio vulnificus / Q000302:isolation & purification
D000894:Anti-Inflammatory Agents, Non-Steroidal; D001550:Benzamidines; D006146:Guanidines; C032855:nafamostat