title: Vibrio vulnificus peritonitis after handling of seafood in a patient receiving CAPD.
abstract: Vibrio vulnificus is a marine bacterium and opportunistic human pathogen. Associated infections have contributed to the majority of seafood-related deaths in the United States. In patients with such predisposed clinical conditions as chronic liver disease, immunocompromised state, and end-stage renal disease, this organism has been associated with the development of life-threatening primary septicemia and severe wound infection. However, continuous ambulatory peritonitis dialysis (CAPD)-related peritonitis caused by V vulnificus has not been reported. We describe a patient receiving CAPD who developed peritonitis caused by V vulnificus after handling seafood. This case highlights the importance of strict aseptic technique during CAPD exchanges and calls for an effort in educating our dialysis patients on precautions about seafood handling.
authors.affiliation: Department of Medicine, Kwong Wah Hospital, Hong Kong, SAR, China. apnwong@yahoo.com
authors.forename: Ping-Nam
authors.initials: PN
authors.lastname: Wong
authors.forename: Siu-Ka
authors.initials: SK
authors.lastname: Mak
authors.forename: Man-Wai
authors.initials: MW
authors.lastname: Lo
authors.forename: Kin-Yee
authors.initials: KY
authors.lastname: Lo
authors.forename: Gensy Mei-Wa
authors.initials: GM
authors.lastname: Tong
authors.forename: Yuk
authors.initials: Y
authors.lastname: Wong
authors.forename: Andrew Kui-Man
authors.initials: AK
authors.lastname: Wong
mesh_terms: D000368:Aged; D000740:Anemia / Q000209:etiology / Q000628:therapy; D000818:Animals; D001803:Blood Transfusion; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004198:Disease Susceptibility; D004866:Equipment Contamination; D005260:Female; D005506:Food Contamination; D005511:Food Handling; D005516:Food Microbiology; D006235:Hand Disinfection; D006723:Hong Kong; D006801:Humans; D016867:Immunocompromised Host; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D009894:Opportunistic Infections / Q000209:etiology* / Q000382:microbiology; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000209:etiology* / Q000382:microbiology; D012758:Shellfish / Q000382:microbiology*; D014735:Vibrio Infections / Q000209:etiology* / Q000382:microbiology; D041261:Vibrio vulnificus / Q000302:isolation & purification*