1999
DOI: 10.1097/00007890-199910150-00029
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Primary Vibrio Vulnificus Bacteremia in a Liver Transplant Recipient After Ingestion of Raw Oysters: Caveat Emptor

Abstract: Vibrio vulnificus is responsible for severe infections in chronically ill patients. Organ transplant recipients are also at risk for severe infections due to V vulnificus. We report here the first case of V. vulnificus primary bacteremia due to raw shellfish consumption in a liver transplant recipient. All transplant patients should be cautioned against consuming uncooked seafood and warned about the risk of severe Vibrio infections from seemingly innocuous wounds acquired in a salt water environment.

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Cited by 7 publications
(5 citation statements)
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“…por Dowdy LM y cols, en muestras de sangre de un paciente que recibió un trasplante de hígado después de ingerir ostiones crudos, y en Japón, por Osawa M y cols, quienes aislaron esta especie en un paciente con cirrosis hepática causada por el virus de la hepatitis C 21,22 . Hasta el presente no existían publicaciones de este género en muestras de hemocultivos en la literatura médica cubana.…”
Section: Discussionunclassified
“…por Dowdy LM y cols, en muestras de sangre de un paciente que recibió un trasplante de hígado después de ingerir ostiones crudos, y en Japón, por Osawa M y cols, quienes aislaron esta especie en un paciente con cirrosis hepática causada por el virus de la hepatitis C 21,22 . Hasta el presente no existían publicaciones de este género en muestras de hemocultivos en la literatura médica cubana.…”
Section: Discussionunclassified
“…Yersinia species can also cause invasive disease with bacteremia in SOT [62,63]. Noncholera Vibrio species can cause fulminant illness in transplant recipients, with gastroenteritis, bacteremia, or skin and soft-tissue infections [57][58][59][60]; environmental flooding increases the risk of illness due to Vibrio species, as was observed after Hurricane Katrina [133]. Recent increases in drug-resistant bacteria, sometimes related to the use of antibiotics in animal feed (such as with multidrug-resistant Salmonella species), are especially concerning.…”
Section: Bacterial Infectionmentioning
confidence: 99%
“…Even minor wounds should be immediately treated with oral tetracycline, trimethoprim/sulfamethoxazole, or a quinolone. Prevention includes boiling shellfish for 3 to 5 minutes after they gape, or steaming for 4 to 9 minutes [21]. Empiric treatment recommendations include doxycycline, 100 mg every 12 hours, and ceftazidime, 2 mg every 8 hours.…”
Section: Vibrio Speciesmentioning
confidence: 99%