4 154

Cited 0 times in

Vibrio vulnificus sepsis misdiagnosed as simple deep vein thrombosis.

Authors
 Je Sung You  ;  Seunghwan Kim  ;  Incheol Park  ;  Seungho Kim 
Citation
 AMERICAN JOURNAL OF EMERGENCY MEDICINE, Vol.30(9) : 2098-6, 2012 
Journal Title
 AMERICAN JOURNAL OF EMERGENCY MEDICINE 
ISSN
 0735-6757 
Issue Date
2012
MeSH
Blister/etiology ; Blister/microbiology ; Diagnostic Errors* ; Emergency Service, Hospital ; Fatal Outcome ; Humans ; Leg ; Male ; Middle Aged ; Sepsis/diagnosis* ; Sepsis/etiology ; Sepsis/microbiology ; Venous Thrombosis/diagnosis* ; Venous Thrombosis/pathology ; Vibrio Infections/diagnosis* ; Vibrio Infections/microbiology ; Vibrio Infections/pathology ; Vibrio vulnificus*
Keywords
Blister/etiology ; Blister/microbiology ; Diagnostic Errors* ; Emergency Service, Hospital ; Fatal Outcome ; Humans ; Leg ; Male ; Middle Aged ; Sepsis/diagnosis* ; Sepsis/etiology ; Sepsis/microbiology ; Venous Thrombosis/diagnosis* ; Venous Thrombosis/pathology ; Vibrio Infections/diagnosis* ; Vibrio Infections/microbiology ; Vibrio Infections/pathology ; Vibrio vulnificus*
Abstract
A 46-year-old man was transferred to the emergency department and suspected of having a deep vein thrombosis. The patient reported swelling and pain in both lower legs for 16 hours. His medical history included liver cirrhosis secondary to alcohol. A detailed history revealed raw fish consumption 1 day before admission. Within 2 hours of arrival, several hemorrhagic bullae developed in the color-changed lesions of both lower legs. The patient's level of consciousness deteriorated to a stupor. He was admitted to the intensive care unit. Despite intensive management with a ventilator, fluid resuscitation, vasopressors, and intravenous antibiotics (doxycycline, vancomycin, and a third-generation cephalosporin), the patient died within 23 hours of the onset of symptoms. At 1 day after the death, a blood culture confirmed the clinical diagnosis of Vibrio vulnificus. Emergency physicians should consider Vibrio vulnificus infections in patients with sepsis and severe skin lesions and should assess (from the medical history) risk factors including consumption of raw seafood and direct exposure to seawater. Prompt diagnosis and treatment for Vibrio vulnificus infections can significantly improve the outcome.
Full Text
http://www.sciencedirect.com/science/article/pii/S0735675712000599
DOI
22633714
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seung Ho(김승호)
Park, In Cheol(박인철) ORCID logo https://orcid.org/0000-0001-7033-766X
You, Je Sung(유제성) ORCID logo https://orcid.org/0000-0002-2074-6745
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89421
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse