Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-05T08:31:56.005Z Has data issue: false hasContentIssue false

Vibrio vulnificus

Published online by Cambridge University Press:  02 January 2015

Hilda Ratner*
Affiliation:
Clinical Microbiology Laboratory, Vanderbilt University, Nashville, Tennessee
*
Clinical Microbiology Laboratory, Vanderbilt University, Nashville, TN 37232

Extract

The importance of vibrio species other than Vibrio cholerae has only recently been appreciated. Vibrio parahaemolyticus has usually been associated with gastrointestinal tract infections although it may be a rare cause of soft tissue infection and septicemia. V alginolyticus is a rare cause of marine wound infections, otitis, and sepsis, and has not been associated with outbreaks of gastroenteritis. In 1976 Hollis et al1 described the characteristics of 38 isolates of a halophilic bacterium isolated from blood cultures (20), cerebrospinal fluid (2), and wound infections (16). Originally called Beneckea vulnifica, this organism was reassigned to the genus Vibrio and named V vulnificus by Farmer. It is a salt-requiring, marine vibrio that can be distinguished from other vibrio species by its ability to ferment lactose. V vulnificus is a particularly virulent organism that typically produces either primary septicemia that occurs after ingestion of raw shellfish, especially in patients with chronic liver disease, or a fulminating wound infection that occurs after exposure to seawater or handling of shellfish.

Type
Special Sections
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Hollis, DG, Weaver, RE, Baker, CN, et al: Halophilic Vibrio species isolated from blood cultures. J Clin Microbiol 1976;3:425431.Google Scholar
2. Farmer, JJ, III, Vibrio (Beneckea) vulnificus, the bacterium associated with sepsis, septicaemia, and the sea. Lancet 1979;2:903.Google Scholar
3. Kelly, MT, Effect of temperature and salinity of Vibrio (Beneckea) vulnificus occurrence in a Gulf Coast environment. Appi Environ Microbiol 1982;44:820824.Google Scholar
4. Tacket, CO, Barrett, TJ, Mann, JM, et al: Wound infections caused b J Vibrio vulnificus, a marine vibrio, in inland areas of the United States. J Clin Microbiol 1984;19:197199.CrossRefGoogle Scholar
5. Blake, PA, Merson, MH, Weaver, RE, et al: Disease caused by a marine vibrio: Clinical characteristics and epidemiology. N Engl J Med 1979;300:15.CrossRefGoogle ScholarPubMed
6. Bonner, JR, Coker, AS, Berryman, CR, et al: Spectrum of vibrio infections in a Gulf Coast community. Ann Intern Med 1983;99:464469.Google Scholar
7. Johnston, JM, Becker, SF, McFarland, LM, Vibrio vulnificus—Man and the sea. JAMA 1985;253:28502853.CrossRefGoogle ScholarPubMed
8. Tacket, CO, Brenner, F, Blake, PA, Clinical features and an epidemiological study of Vibrio vulnificus inflections . J Infect Dis 1984;149:558561.CrossRefGoogle Scholar
9. Tilton, RC, Ryan, RW, Clinical and ecological characteristics of Vibrio vulnificus in the northeastern United States. Diagn Microbiol Infect Dis 1987;6:109117.CrossRefGoogle ScholarPubMed
10. Golwell, RR, Kaper, J, Joseph, SW, Vibrio cholerae, vibrio parahaemolyticus and other vibrios; occurrence and distribution in Chesapeake Bay. Science 1977;198:394396.Google Scholar
11. Farmer, JJ III, Hickman, FW, Kelly, MT, Vibrio, in Lennette, EH, et al: (eds): Manual of Clinical Microbiology, ed 4. Washington, DC, American Society for Microbiology, 1973, pp 282302.Google Scholar
12. Beckman, EN, Leonard, GL, Castillo, LE, et al: Histopathology of marine vibrio wound infections. Am J Clin Pathol 1981;76:765772.Google Scholar
13. Musher, DM, ‘Cellulitis’ with sepsis in a fisherman. Hosp Pract November 1981, pp 124128.Google Scholar
14. Johnston, JM, Becker, SF, McFarland, LM, Gastroenteritis in patients with stool isolates of Vibrio vulnificus . Am J Med 1986;80:336338.Google Scholar
15. Kelly, MT, Avery, DM, Lactose-positive Vibrio in seawater: A cause of pneumonia and septicemia in a drowning victim. J Clin Microbiol 1980;11:278280.CrossRefGoogle Scholar
16. Tison, DL, Kelly, MT, Vibrio vulnificus endometritis. J Clin Microbiol 1984;20:185186.Google Scholar
17. Wright, AC, Simpson, LM, Oliver, JD, Role of iron in the pathogenesis of Vibrio vulnificus infections. Infect Immun 1981;34:503507.Google Scholar
18. Tison, DL, Seidler, RJ, Genetic relatedness of clinical and environmental isolates of the lactose-positive Vibrio vulnificus . Curr Microbiol 1981;6:181.Google Scholar
19. Bowdre, JH, Hull, JH, Cocchetto, DM, Antibiotic efficacy against Vibrio vulnificus in the mouse; Superiority of tetracycline. J Pharmacol Exp Ther 1983;225:595598.Google Scholar
20. Morris, JG, Black, RE, Cholera and other vibrioses in the United States. NEngl J Med 1985;312:343350.CrossRefGoogle ScholarPubMed