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Patient in shock with bullous skin lesions
    Differential Diagnosis[Top] [Nav]
Vibrio vulnificus sepsis
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • Patients with chronic illness, or with possible or definite liver disease (e.g. hemochromatosis, thalassemia major, alcoholism, malignancy) should not eat raw or undercooked seafood. [102]
  • Includes a one-page discussion of V. vulnificus. [103]
  • Infection with V. vulnificus. [105]
  • Rhinocerebral mucormycosis is Bad. [112]
  • A little more on mucormycosis in iron overload. [113]
    Footnotes in Print Edition[Top] [Nav]
    (1) Cholera and other vibrioses in the United States.
  Morris JG Jr, Black RE.   N Engl J Med 1985 Feb 7;312(6):343-50.  Pubmed  Similars
    (2) Goldfrank's Toxicologic Emergencies. 3rd ed.
  Goldfrank L, et al. Norwalk, CT: Appleton-Century-Crofts, 1986: 394, 546.
    (3) Vibrio vulnificus septicemia.
  Hoffmann TJ, Nelson B, et al.   Arch Intern Med 1988 Aug;148(8):1825-7.  Pubmed+Abstract  Similars
    (-) Vibrio vulnificus--a new monster of the deep?.
  Morris JG Jr.   Ann Intern Med 1988 Aug 15;109(4):261-3.  Pubmed  Similars
    (-) Syndromes of Vibrio vulnificus infections. Clinical and epidemiologic features in Florida cases, 1981-1987.
  Klontz KC, Lieb S, et al.   Ann Intern Med 1988 Aug 15;109(4):318-23.  Pubmed+Abstract  Similars
    New References[Top] [Nav]

Vibrio vulnificus
    101.Prevention of Vibrio vulnificus infections. Assessment of regulatory educational strategies.
  Mouzin E, Mascola L, et al.   JAMA 1997 Aug 20;278(7):576-8.  Pubmed+Abstract  Similars
    102.Vibrio vulnificus and patients with liver disease.
  FDA Drug Bull 1985 Apr;15(1):5-6.  Pubmed  Similars
    103.Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 41-1994. A 57-year-old man with chronic active hepatitis, a rapidly progressive bullous eruption, and shock [clinical conference].
  N Engl J Med 1994 Nov 17;331(20):1362-8.  Pubmed  Similars
    104.Hemochromatosis, iron and septicemia caused by Vibrio vulnificus.
  Bullen JJ, Spalding PB, et al.   Arch Intern Med 1991 Aug;151(8):1606-9.  Pubmed+Abstract  Similars
    105.Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 41-1989. A 65-year-old man with fever, bullae, erythema, and edema of the leg after wading in brackish water.
  N Engl J Med 1989 Oct 12;321(15):1029-38.  Pubmed  Similars

Vibrios and geography
    106.Reported cholera in the United States, 1992-1994: a reflection of global changes in cholera epidemiology.
  Mahon BE, Mintz ED, et al.   JAMA 1996 Jul 24-31;276(4):307-12.  Pubmed+Abstract  Similars
    107.Cholera in the Americas. Guidelines for the clinician.
  Swerdlow DL, Ries AA.   JAMA 1992 Mar 18;267(11):1495-9.  Pubmed  Similars
    108.Like attacker probing defenses, cholera threatens US population from elsewhere in this hemisphere [news].
  Marwick C.   JAMA 1992 Mar 11;267(10):1314-5.  Pubmed  Similars
    109.Cholera in Louisiana. Widening spectrum of seafood vehicles.
  Lowry PW, Pavia AT, et al.   Arch Intern Med 1989 Sep;149(9):2079-84.  Pubmed+Abstract  Similars

Uncommon Vibrios
    110.Vibrio damsela. A cause of fulminant septicemia.
  Perez-Tirse J, Levine JF, et al.   Arch Intern Med 1993 Aug 9;153(15):1838-40.  Pubmed+Abstract  Similars
    111.Vibrio carchariae infection after a shark bite.
  Pavia AT, Bryan JA, et al.   Ann Intern Med 1989 Jul 1;111(1):85-6.  Pubmed  Similars

More on iron and infections
    112.Fatal Rhizopus infections in hemodialysis patients receiving deferoxamine.
  Windus DW, Stokes TJ, et al.   Ann Intern Med 1987 Nov;107(5):678-80.  Pubmed+Abstract  Similars
    113.Uncertainty in clinical decisions [letter].
  Fenves A, Windus D.   Ann Intern Med 1988 Aug 15;109(4):347-8.  Pubmed  Similars
    114.Iron sepsis: Yersinia enterocolitica septicemia possibly caused by an overdose of iron [letter].
  Mofenson HC, Caraccio TR, et al.   N Engl J Med 1987 Apr 23;316(17):1092-3.  Pubmed  Similars
    115.Yersinia sepsis in patients with iron overload treated with deferoxamine [letter].
  Gallant T, Freedman MH, et al.   N Engl J Med 1986 Jun 19;314(25):1643.  Pubmed  Similars
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:33 PDT on July 4, 2000.[Top]

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