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A successful treatment of Vibrio vulnificus infection
Authors:Sasaki Eisuke  Yamanouchi Hirotsugu  Shioshita Kei  Hayakawa Tomoichiro  Izumikawa Koichi  Izumikawa Kinichi  Hara Kohei  Hirakata Yoichi  Kohno Shigeru
Affiliation:Izumikawa Hospital, Department of Laboratory Medicine, Nagasaki University School of Medicine.
Abstract:A 65-year-old male patient with a history of alcoholism visited our outpatient clinic complaining of nausea and diarrhea followed by dizziness. Erythema and swelling with partial exfoliation on the right forearm to hand and right thigh were noticed. Vibrio vulnificus was isolated from the purulent discharge of the skin. Due to urgent and intensive treatment of bacterial shock and antimicrobial drugs, the patient fully recovered three months later. We believe that the patient survived from this fatal infection because; 1) the isolates were highly sensitive to a wide variety of antibiotics, 2) the antibiotic therapy was started immediately, with an alternative usage of different antibiotics, and 3) the liver dysfunction of the patient had not been severely damaged by alcohol before the infection.
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