Vibrio parahemolyticus - Revision history

ClaireLewis at 18:34, 10 August 2016

2016-08-10T18:34:52Z

← Older revision		Revision as of 18:34, 10 August 2016
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	==Clinical Features==		==Clinical Features==

	*~~gastroenteritis~~ > wound infection >> sepsis		*Gastroenteritis > wound infection >> sepsis
	*sepsis is less common, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, nausea/vomiting, abdominal pain => shock, bullae => death in approximately 55% <ref>Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[[http://www.ncbi.nlm.nih.gov/pubmed/758155 N Engl J Med. 1979 Jan 4;300(1):1-5.]</ref>		*sepsis is less common, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, nausea/vomiting, abdominal pain => shock, bullae => death in approximately 55% <ref>Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[[http://www.ncbi.nlm.nih.gov/pubmed/758155 N Engl J Med. 1979 Jan 4;300(1):1-5.]</ref>

	==Differential Diagnosis==		==Differential Diagnosis==
			{{Nausea and vomiting DDX}}

	==Evaluation==		==Evaluation==
			*Diagnosis is clinical (e.g. shellfish consumption + gastroenteritis, saltwater contact with lesion)
			*Check electrolytes for repletion if significant vomiting/diarrhea

	==Management==		==Management==
	*Gastroenteritis		*[[Gastroenteritis]]
	**Hydration (e.g. [[ORS]])		**Hydration (e.g. [[ORS]])
	**Antibiotics ([[Floroquinolone]] OR [[doxycycline]]) only in severe or prolonged cases		**Antibiotics ([[Floroquinolone]] OR [[doxycycline]]) only in severe or prolonged cases
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	**[[Floroquinolone]] OR [[doxycycline]] OR third-generation [[cephalosporin]]		**[[Floroquinolone]] OR [[doxycycline]] OR third-generation [[cephalosporin]]
	**Treat for 7 to 14 days		**Treat for 7 to 14 days
	*Necrotizing Fasciitis		*[[Necrotizing Fasciitis]]
	**Emergent surgical consultation		**Emergent surgical consultation for debridement

	==Disposition==		==Disposition==

	==See Also==		==See Also==
			*[[Gastroenteritis]]
			*[[Necrotizing Fasciitis]]
			*[[Vibrio species]]
	==External Links==		==External Links==

Rossdonaldson1: Text replacement - "approx " to "approximately "

2016-08-01T05:32:29Z

Text replacement - "approx " to "approximately "

← Older revision		Revision as of 05:32, 1 August 2016
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	*gastroenteritis > wound infection >> sepsis		*gastroenteritis > wound infection >> sepsis
	*sepsis is less common, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, nausea/vomiting, abdominal pain => shock, bullae => death in ~~approx~~ 55% <ref>Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[[http://www.ncbi.nlm.nih.gov/pubmed/758155 N Engl J Med. 1979 Jan 4;300(1):1-5.]</ref>		*sepsis is less common, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, nausea/vomiting, abdominal pain => shock, bullae => death in approximately 55% <ref>Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[[http://www.ncbi.nlm.nih.gov/pubmed/758155 N Engl J Med. 1979 Jan 4;300(1):1-5.]</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Clinical Features */

2016-07-30T11:51:53Z

Clinical Features

← Older revision		Revision as of 11:51, 30 July 2016
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	*gastroenteritis > wound infection >> sepsis		*gastroenteritis > wound infection >> sepsis
	*sepsis is less common, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, N/V, ~~abd~~ pain => shock, bullae => death in approx 55% <ref>Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[[http://www.ncbi.nlm.nih.gov/pubmed/758155 N Engl J Med. 1979 Jan 4;300(1):1-5.]</ref>		*sepsis is less common, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, nausea/vomiting, abdominal pain => shock, bullae => death in approx 55% <ref>Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[[http://www.ncbi.nlm.nih.gov/pubmed/758155 N Engl J Med. 1979 Jan 4;300(1):1-5.]</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

Heston at 20:37, 28 July 2016

2016-07-28T20:37:48Z

← Older revision		Revision as of 20:37, 28 July 2016
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	*gastroenteritis > wound infection >> sepsis		*gastroenteritis > wound infection >> sepsis
	*sepsis is ~~rare~~, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, N/V, abd pain => shock, bullae => death in approx 55%		*sepsis is less common, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, N/V, abd pain => shock, bullae => death in approx 55% <ref>Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[[http://www.ncbi.nlm.nih.gov/pubmed/758155 N Engl J Med. 1979 Jan 4;300(1):1-5.]</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

Heston at 20:36, 28 July 2016

2016-07-28T20:36:21Z

← Older revision		Revision as of 20:36, 28 July 2016
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	==Management==		==Management==
	*Hydration (e.g. [[ORS]])		*Gastroenteritis
	*[[~~Antibiotics~~]]		**Hydration (e.g. [[ORS]])
			**Antibiotics ([[Floroquinolone]] OR [[doxycycline]]) only in severe or prolonged cases
			**Notify public health authorities if epidemic food-borne illness is suspected
			*Sepsis, Wound Infections
	**Treat severe disease only		**Treat severe disease only
	**[[Floroquinolone]] OR [[doxycycline]] OR third-generation [[cephalosporin]]		**[[Floroquinolone]] OR [[doxycycline]] OR third-generation [[cephalosporin]]
			**Treat for 7 to 14 days
			*Necrotizing Fasciitis
			**Emergent surgical consultation

	==Disposition==		==Disposition==

Heston at 20:26, 28 July 2016

2016-07-28T20:26:40Z

← Older revision		Revision as of 20:26, 28 July 2016
Line 7:		Line 7:
	==Clinical Features==		==Clinical Features==

	*~~Most common:~~ gastroenteritis		*gastroenteritis > wound infection >> sepsis
	*Occasional: wound infection		*sepsis is rare, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, N/V, abd pain => shock, bullae => death in approx 55%
	*~~Rare:~~ sepsis

	==Differential Diagnosis==		==Differential Diagnosis==

Heston at 20:23, 28 July 2016

2016-07-28T20:23:22Z

← Older revision		Revision as of 20:23, 28 July 2016
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	==Background==		==Background==
	*Shellfish exposure		*Shellfish exposure, especially raw oysters
			*Salt water contact with skin lesion

	{{Vibrio species}}		{{Vibrio species}}

Heston at 20:22, 28 July 2016

2016-07-28T20:22:25Z

← Older revision		Revision as of 20:22, 28 July 2016
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	==Clinical Features==		==Clinical Features==

			*Most common: gastroenteritis
			*Occasional: wound infection
			*Rare: sepsis

	==Differential Diagnosis==		==Differential Diagnosis==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T17:10:39Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 17:10, 26 July 2016
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	==Differential Diagnosis==		==Differential Diagnosis==

	==~~Diagnosis~~==		==Evaluation==

	==Management==		==Management==

Rossdonaldson1: /* References */

2016-05-15T07:34:29Z

References

← Older revision		Revision as of 07:34, 15 May 2016
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	<references/>		<references/>

	[[~~Categopry~~:ID]]		[[Category:ID]]