Vibrio vulnificus infection: a persistent threat to public health

Korean J Intern Med. 2018 Nov;33(6):1070-1078. doi: 10.3904/kjim.2018.159. Epub 2018 Jun 15.

Abstract

Vibrio vulnificus is a gram-negative bacterium that can cause serious, potentially fatal infections. V. vulnificus causes three distinct syndromes: an overwhelming primary septicemia caused by consuming contaminated seafood, wound infections acquired when an open wound is exposed to contaminated warm seawater, and gastrointestinal tract-limited infections. Case-fatality rates are higher than 50% for primary septicemia, and death typically occurs within 72 hours of hospitalization. Risk factors for V. vulnificus infection include chronic liver disease, alcoholism, and hematological disorders. When V. vulnificus infection is suspected, appropriate antibiotic treatment and surgical interventions should be performed immediately. Third-generation cephalosporin with doxycycline, or quinolone with or without third-generation cephalosporin, may be potential treatment options for patients with V. vulnificus infection.

Keywords: Diagnosis; Prognosis; Therapeutics; Vibrio vulnificus.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Child
  • Female
  • Food Microbiology*
  • Foodborne Diseases / diagnosis
  • Foodborne Diseases / drug therapy
  • Foodborne Diseases / microbiology*
  • Foodborne Diseases / mortality
  • Humans
  • Male
  • Middle Aged
  • Public Health*
  • Risk Factors
  • Seafood / microbiology*
  • Seawater / microbiology*
  • Sepsis / diagnosis
  • Sepsis / drug therapy
  • Sepsis / microbiology*
  • Sepsis / mortality
  • Surgical Wound Infection / diagnosis
  • Surgical Wound Infection / drug therapy
  • Surgical Wound Infection / microbiology*
  • Surgical Wound Infection / mortality
  • Treatment Outcome
  • Vibrio Infections / diagnosis
  • Vibrio Infections / drug therapy
  • Vibrio Infections / microbiology*
  • Vibrio Infections / mortality
  • Vibrio vulnificus / drug effects
  • Vibrio vulnificus / pathogenicity*
  • Young Adult

Substances

  • Anti-Bacterial Agents

Supplementary concepts

  • Vibrio vulnificus infection

Grants and funding