title: A fish-stunning wound infection with acute cardiac injury.
abstract: Vibrio vulnificus typically causes septicemia and necrotic wound infection. Among V vulnificus–related complications, acute nonthrombotic myocardial damage has not been reported. The most effective antibiotic treatment of V vulnificus infection includes combination of a third-generation cephalosporin and a tetracycline or its analogue. However, recommendations of a fourth-generation cephalosporinbased regimen for treating the disease are not established. A 67-year-old diabetic man acquired V vulnificus infection via a fish-stunning wound on the right foot. The patients developed septicemia and hemorrhagic bullous necrotic wounds and followed by acute nonthrombotic cardiac injury with low cardiac output. After initial resuscitation, we applied dobutamine inotropic therapy with combination of cefpirome and ciprofloxacin or minocycline, which achieved a good clinical outcome.
authors.affiliation: Department of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan; Department of Health and Nutrition, Chia Nan University of Pharmacy and Science, Tainan, Taiwan. Electronic address: yuleon_md@yahoo.com.tw.
authors.forename: Khee-Siang
authors.initials: KS
authors.lastname: Chan
authors.affiliation: Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan; Department of Safety Health and Environment, Chung Hwa University of Medical Technology, Tainan, Taiwan; Department of Medicine, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Kuo-Chen
authors.initials: KC
authors.lastname: Cheng
authors.affiliation: Departments of Medical Research, Chi Mei Medical Center, Tainan, Taiwan.
authors.forename: Mei-Feng
authors.initials: MF
authors.lastname: Lee
authors.affiliation: Department of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan; Department of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address: yuleon_md@yahoo.com.tw.
authors.forename: Wen-Liang
authors.initials: WL
authors.lastname: Yu
mesh_terms: D000208:Acute Disease; D000368:Aged; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D018805:Sepsis / Q000175:diagnosis* / Q000209:etiology; D014735:Vibrio Infections / Q000150:complications / Q000175:diagnosis*; D014946:Wound Infection / Q000150:complications / Q000175:diagnosis*