title: [A patient with Vibrio vulnificus meningoencephalitis].
abstract: 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.
authors.affiliation: Stroke Center, Saiseikai Kumamoto Hospital.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Sato
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Inatomi
authors.forename: Toshiro
authors.initials: T
authors.lastname: Yonehara
authors.forename: Shodo
authors.initials: S
authors.lastname: Fujioka
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: Teruyuki
authors.initials: T
authors.lastname: Hirano
authors.forename: Makoto
authors.initials: M
authors.lastname: Uchino
mesh_terms: 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
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D001550:Benzamidines; D006146:Guanidines; C032855:nafamostat