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Vibrio vulnificus sepsis misdiagnosed as simple deep vein thrombosis.

DC FieldValueLanguage
dc.contributor.author김승호-
dc.contributor.author박인철-
dc.contributor.author유제성-
dc.date.accessioned2014-12-19T16:22:57Z-
dc.date.available2014-12-19T16:22:57Z-
dc.date.issued2012-
dc.identifier.issn0735-6757-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/89421-
dc.description.abstractA 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.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfAMERICAN JOURNAL OF EMERGENCY MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHBlister/etiology-
dc.subject.MESHBlister/microbiology-
dc.subject.MESHDiagnostic Errors*-
dc.subject.MESHEmergency Service, Hospital-
dc.subject.MESHFatal Outcome-
dc.subject.MESHHumans-
dc.subject.MESHLeg-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHSepsis/diagnosis*-
dc.subject.MESHSepsis/etiology-
dc.subject.MESHSepsis/microbiology-
dc.subject.MESHVenous Thrombosis/diagnosis*-
dc.subject.MESHVenous Thrombosis/pathology-
dc.subject.MESHVibrio Infections/diagnosis*-
dc.subject.MESHVibrio Infections/microbiology-
dc.subject.MESHVibrio Infections/pathology-
dc.subject.MESHVibrio vulnificus*-
dc.titleVibrio vulnificus sepsis misdiagnosed as simple deep vein thrombosis.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Emergency Medicine (응급의학)-
dc.contributor.googleauthorJe Sung You-
dc.contributor.googleauthorSeunghwan Kim-
dc.contributor.googleauthorIncheol Park-
dc.contributor.googleauthorSeungho Kim-
dc.identifier.doi22633714-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01628-
dc.contributor.localIdA02507-
dc.contributor.localIdA00667-
dc.relation.journalcodeJ00079-
dc.identifier.eissn1532-8171-
dc.identifier.pmid22633714-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0735675712000599-
dc.subject.keywordBlister/etiology-
dc.subject.keywordBlister/microbiology-
dc.subject.keywordDiagnostic Errors*-
dc.subject.keywordEmergency Service, Hospital-
dc.subject.keywordFatal Outcome-
dc.subject.keywordHumans-
dc.subject.keywordLeg-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordSepsis/diagnosis*-
dc.subject.keywordSepsis/etiology-
dc.subject.keywordSepsis/microbiology-
dc.subject.keywordVenous Thrombosis/diagnosis*-
dc.subject.keywordVenous Thrombosis/pathology-
dc.subject.keywordVibrio Infections/diagnosis*-
dc.subject.keywordVibrio Infections/microbiology-
dc.subject.keywordVibrio Infections/pathology-
dc.subject.keywordVibrio vulnificus*-
dc.contributor.alternativeNameKim, Seung Ho-
dc.contributor.alternativeNamePark, In Cheol-
dc.contributor.alternativeNameYou, Je Sung-
dc.contributor.affiliatedAuthorPark, In Cheol-
dc.contributor.affiliatedAuthorYou, Je Sung-
dc.contributor.affiliatedAuthorKim, Seung Ho-
dc.citation.volume30-
dc.citation.number9-
dc.citation.startPage2098-
dc.citation.endPage6-
dc.identifier.bibliographicCitationAMERICAN JOURNAL OF EMERGENCY MEDICINE, Vol.30(9) : 2098-6, 2012-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers

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