Vibrio parahemolyticus
Background
- Shellfish exposure, especially raw oysters
- Salt water contact with skin lesion
Vibrio species
Clinical Features
- 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% [1]
Differential Diagnosis
Evaluation
Management
- Gastroenteritis
- 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
- Floroquinolone OR doxycycline OR third-generation cephalosporin
- Treat for 7 to 14 days
- Necrotizing Fasciitis
- Emergent surgical consultation
Disposition
See Also
External Links
References
- ↑ Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[N Engl J Med. 1979 Jan 4;300(1):1-5.