Septicaemia due to Vibrio vulnificus: A tropical infection not to be taken lightly
https://doi.org/10.47665/tb.41.2.004
- Author:
Ding, C.H.
1
;
Wahab, A.A.
1
;
Saaid, M.S.
1
;
Mokhtar, M.N.
2
;
Abdullah, F.A.
2
;
Azaharuddin, I.
2
Author Information
1. Department of Medical Microbiology and Immunology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
2. Department of Anaesthesiology and Intensive Care, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
Ceftazidime;
ciprofloxacin;
seafood;
septicaemia;
septic shock;
Vibrio vulnificus.
- From:Tropical Biomedicine
2024;41(No.2):157-159
- CountryMalaysia
- Language:English
-
Abstract:
Vibrio vulnificus is a halophilic gram-negative bacillus that can cause fulminant septicaemia in
immunocompromised patients. A 67-year-old man who was immunosuppressed as a result of cytotoxic
chemotherapy presented with a brief history of fever, lethargy, myalgia, and reduced oral intake. He had
recently travelled to the beach to consume seafood. His blood pressure was 81/47 mm Hg, necessitating
fluid resuscitation followed by inotropic support and admission to the intensive care unit. His blood
culture was positive for curved gram-negative bacilli. The isolate was oxidase-positive and produced an
acid butt with an alkaline slant in triple sugar iron agar. Matrix-assisted laser desorption ionization-time
of flight mass spectrometry conclusively identified the isolate as V. vulnificus. Intravenous ceftazidime
plus ciprofloxacin were administered, and by the fifth day of admission, he was successfully transferred
out to the general ward. In total, the patient completed a 14-day course of antibiotic therapy.
- Full text:20240719160551763758.2024my1465.pdf
