Printer Friendly

Update on vibrio vulnificus infections in Louisiana: 1977-2002.

Vibrio vulnificus is a human pathogen that resides naturally in coastal waters where shellfish are harvested. This halophilic Gramnegative bacterium causes clinical syndromes that include septicemia, wound infection, and gastroenteritis. Reportedly, 90% of sea-food-associated deaths in the US are associated with V vulnificus infections. In Louisiana, vibrio infections including V vulnificus have been mandated as reportable since 1989. A retrospective descriptive study of 233 cases of V vulnificus infections from 1977 through 2002 was performed by the Louisiana Office of Public Health (Infectious Diseases Epidemiology Section). V vulnificus infections reported in the state of Louisiana were most commonly septicemia and wound infections (95% of all cases). Seventy-five percent of all cases occurred in individuals greater than 45 years of age (age range, 7-95 years), 85% were reported in men, and infections by race were 10 times higher in whites than African Americans. More than two thirds of these infections were reported in individuals with a variety of underlying medical conditions including liver disease, renal disease, diabetes, peptic ulcer disease and malignancy. The crude mortality rate for this cohort of patients was 25%. V vulnificus is a potentially life-threatening pathogen that primarily causes the clinical syndromes of wound infection and septicemia. Infections occur more commonly in middle-aged men with underlying chronic medical conditions. These data provide additional evidence about which populations would benefit from education regarding the potential dangers of ingestion of raw shellfish or exposure of wounds to contaminated shellfish or seawater.

F.A. Lopez, S. Wilson, S. Soileau, and C.V. Sanders. Louisiana State University Health Sciences Center, New Orleans, LA. Louisiana Office of Public Health-Infectious Diseases Epidemiology Section, New Orleans, LA. Louisiana State University AgCenter, Baton Rouge, LA.
COPYRIGHT 2004 Southern Medical Association
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2004, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:Section on Internal Medicine
Author:Sanders, C.V.
Publication:Southern Medical Journal
Article Type:Brief Article
Date:Oct 1, 2004
Previous Article:The metabolic fitness quotient.
Next Article:Acute flaccid paralysis due to West Nile fever.

Related Articles
Vibrio vulnificus infection: epidemiology, clinical presentations, and prevention.
Varied clinical presentations of Vibrio vulnificus infections: a report of four unusual cases and review of the literature.
A "fishy remedy": an unusual transmission of Vibrio vulnificus infection.
Vibrio vulnificus in Taiwan.
Hybrid Vibrio vulnificus.
Vibrio parahaemolyticus diarrhea, Chile, 1998 and 2004.
Pandemic vibrio parahaemolyticus 03:K6, Europe.
Intrapopulational variation in Vibrio vulnificus levels in Crassostrea virginica (Gmelin 1971) is associated with the host size but not with disease...
Exposure to seawater proves deadly.
An AFLP approach to identify genetic markers associated with resistance to vibrio vulnificus and Perkinsus marinus in eastern oysters.

Terms of use | Copyright © 2018 Farlex, Inc. | Feedback | For webmasters