Abstract:
BACKGROUND:Chronic kidney disease, including end-stage renal disease, has been identified as a possible risk factor for primary septicemia and wound infection by Vibrio vulnificus. However, cases of severe septicemia, necrotizing fasciitis, and peritonitis caused by V. vulnificus in patients undergoing continuous ambulatory peritoneal dialysis (CAPD) have not been described. We report a case of severe septicemia, necrotizing fasciitis, and peritonitis due to V. vulnificus in a patient undergoing CAPD after ingesting raw seafood. CASE PRESENTATION:A 37-year-old woman undergoing CAPD was admitted to the emergency room due to general weakness, fever, diarrhea, and abdominal pain. Although empirical intraperitoneal antibiotics were administered for the diagnosis of CAPD-related peritonitis, her fever did not subside. On hospital day 3, she had hemorrhagic bullae on both lower legs. We evaluated her recent food history, and found that she ate raw seafood before admission. She underwent emergency fasciotomy on the suspicion of necrotizing fasciitis by V. vulnificus infection. Finally, V. vulnificus was confirmed by 16S ribosomal ribonucleic acid gene sequencing using blood and peritoneal effluent fluid cultures. The administration of intraperitoneal ceftazidime and intravenous ciprofloxacin/ceftriaxone was continued for 4 weeks, and the patient completely recovered. CONCLUSIONS:Suspicion of V. vulnificus infection in vulnerable patients who ingest raw seafood is essential for prompt diagnosis, which could significantly improve patient outcomes.
journal_name
BMC Infect Disjournal_title
BMC infectious diseasesauthors
Kim CS,Bae EH,Ma SK,Kim SWdoi
10.1186/s12879-015-1163-xsubject
Has Abstractpub_date
2015-10-14 00:00:00pages
422issn
1471-2334pii
10.1186/s12879-015-1163-xjournal_volume
15pub_type
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更新日期:2006-04-10 00:00:00
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更新日期:2010-09-03 00:00:00
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doi:10.1186/s12879-016-2096-8
更新日期:2017-01-03 00:00:00
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abstract:BACKGROUND:The outbreak of the novel coronavirus (COVID-19) that was firstly reported in Wuhan, China, with cases now confirmed in more than 100 countries. However, COVID-19 pneumonia with spontaneous pneumothorax is unknown. CASE PRESENTATION:We reported a case of 66-year-old man infected with COVID-19, presenting wi...
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更新日期:2008-05-17 00:00:00
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更新日期:2011-04-21 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-12-11 00:00:00
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更新日期:2019-02-28 00:00:00
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更新日期:2019-06-20 00:00:00
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pub_type: 杂志文章
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更新日期:2017-07-26 00:00:00
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更新日期:2017-08-02 00:00:00