Baizabal-Ramírez Oscar, Negrete-Pérez Mónica, Guerrero-Daza Damayanty, Martínez-Herrera Nahum, Aburto-Desachy Yolanda, Mata-Miranda Pilar
Departamento de Urgencias Médicas, Instituto Mexicano del Seguro Social, Veracruz, México.
Rev Med Inst Mex Seguro Soc. 2011 Jul-Aug;49(4):433-6.
Vibrio vulnificus is a Gram-negative bacterium which is found in marine environments and where there is a partly enclosed coastal body of water with one or more rivers or streams flowing into it, and with a free connection to the open sea. The infection by these bacteria can cause primary septicemia by two mechanisms: upon consuming crustaceans, mollusks and some fish (filtering shellfish) raw or barely cooked or by an open injury in contact with seawater. The patients with infections of the primary injury by Vibrio vulnificus developed contaminated painful cellulitis that progresses quickly as well as a marked local inflammation with signs of hemorrhaging. We described a case of Vibrio vulnificus sepsis, with emphasis on the clinical picture, the epidemiological background and lab findings; finally we did a brief review of the literature related to the case.
创伤弧菌是一种革兰氏阴性菌,存在于海洋环境中,以及部分封闭的沿海水域,该水域有一条或多条河流或溪流流入,并与公海有自由连接。这些细菌的感染可通过两种机制导致原发性败血症:食用生的或几乎未煮熟的甲壳类动物、软体动物和一些鱼类(滤食性贝类),或因开放性伤口接触海水。创伤弧菌原发性损伤感染的患者会出现受污染的疼痛性蜂窝织炎,进展迅速,以及伴有出血迹象的明显局部炎症。我们描述了一例创伤弧菌败血症病例,重点介绍了临床表现、流行病学背景和实验室检查结果;最后,我们对与该病例相关的文献进行了简要综述。