1998
DOI: 10.1016/s0266-7681(98)80104-6
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Hand Infections Due to Non-Cholera Vibrio after Injuries from St Peter’s Fish (Tilapia zillii)

Abstract: We report 49 patients with a wide variety of hand infections, which developed after injuries from St Peter's fish (Tilapia zillii). Twenty-eight of 36 patients who had been operated on had non-cholera Vibrio infections, all identified as Vibrio vulnificus. The course in these patients was characterized by rapid spread of the infection with progressive necrosis of the tendon sheath, subcutaneous tissues and the skin. Two of them required amputations but the others had satisfactory functional results. Thirteen o… Show more

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Cited by 15 publications
(10 citation statements)
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“…Notably, the study from Israel included only V. vulnificus cases; it appears that V. vulnificus cases carry a totally different course and prognosis than other FFBI infections. This notion is supported by another study carried out in Northern Israel [3]. In the study by Said et al, when cases with V. vulnificus are excluded from the final analysis, the prognosis seems comparable to ours.…”
Section: Discussionsupporting
confidence: 89%
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“…Notably, the study from Israel included only V. vulnificus cases; it appears that V. vulnificus cases carry a totally different course and prognosis than other FFBI infections. This notion is supported by another study carried out in Northern Israel [3]. In the study by Said et al, when cases with V. vulnificus are excluded from the final analysis, the prognosis seems comparable to ours.…”
Section: Discussionsupporting
confidence: 89%
“…Percentage of cases with a complicated course (n = 62) (%) [2,3]. The heightened awareness to the potentially severe outcome of infections caused by FFBI following the outbreak caused by V. vulnificus in 1996-1997, is well depicted in the high usage rates of ceftazidime (68.8%) and doxycycline (96.7%) in the present study.…”
Section: Parametersupporting
confidence: 58%
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“…People most o�en get infected as follows (Acha and Szyfres, 2003): (i) through contact with infected fish while handling them, water or other constituents of fish life environment; the following cases of transmissions have been recorded so far: a�er injury by cleaning aquarium with bare hands (Alinovi et al, 1993), a�er exposure to fish tank water (Kern et al, 1989), by handling tropical fish ponds (Guarda et al, 1992), by contact with rare tropical fish (Bha�y et al, 2000), a�er injuries from fish, e.g. by thorns (Said et al, 1998), a�er fish bite (Seiberras et al, 2000), through contact with fish living in the wild (Darie et al, 1993), by contact with a fresh-or salt-water environment (Hayman, 1991;Jernigan and Farr, 2000), infection of young children who are in contact with a fish tank (Bleiker et al, 1996;Speight and Williams, 1997), through processing fish in the food industry and preparation of dishes (Notermans and Hoornstra, 2000) or (ii) orally by consumption infected fish or related products or food contaminated with water or other constituents of water environment. Apart from factors relating to the living environment (exposure), the development of an infectious disease is markedly affected by internal factors such as the physiological status of consumer, particularly by immunosuppression and stress as in the case of HIV/AIDS (Von Reyn et al, 1996).…”
Section: Aetiology Of Human Bacterial Infectionsmentioning
confidence: 99%
“…On the other hand, the potential biological contaminants of aquaculture also bacteria [13,14] including enteric bacteria such as Salmonella, E. coli, Yersinia, Proteus, Klebsiella and others [15][16][17]. People get infected through consumption of undercooked fish, and contact with infected fish, fish products, fish processing industry and aquaculture water [18,19]. With an increase in bacterial flora and load, fish decomposition is rapid.…”
Section: Introductionmentioning
confidence: 99%