Vibrio vulnificus infection after raw oyster ingestion in a patient with liver disease and acquired immune deficiency syndrome-related complex. NLM AIDSLINE Important note: Information in this article was accurate in 1987. The state of the art may have changed since the publication date.

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Vibrio vulnificus infection after raw oyster ingestion in a patient with liver disease and acquired immune deficiency syndrome-related complex.

Gastroenterology. 1987 Mar;92(3):796-9. Unique Identifier : AIDSLINE MED/87134865
Chin KP; Lowe MA; Tong MJ; Koehler AL

Abstract: Sepsis, peritonitis, and gastroenteritis developed in a 45-yr-old homosexual man 1 day after ingestion of raw oysters. The patient had chronic active hepatitis and cirrhosis with hepatitis B virus and delta-infection. He also had persistent generalized lymphadenopathy associated with HTLV-III antibody positivity. Vibrio vulnificus was isolated from the patient's blood and peritoneal fluid as well as from the same batch of oysters at the restaurant where the patient had visited. To our knowledge, this is the first report relating direct microbiologic and clinical evidence that the infection is acquired through the gastrointestinal tract by consuming raw seafood containing the pathogen. This is also the first reported case of peritonitis associated with sepsis and gastroenteritis from this organism. Patients with liver disease and other immunocompromised states should be warned about such life-threatening infections and complications associated with the consumption of raw oysters or other undercooked seafoods.
Keywords: AIDS-Related Complex/*COMPLICATIONS Case Report Delta Infection/COMPLICATIONS *Food Microbiology Gastroenteritis/ETIOLOGY Hepatitis B/COMPLICATIONS Hepatitis, Chronic Active/*COMPLICATIONS Human Liver Cirrhosis/*COMPLICATIONS Male Middle Age Oysters/*MICROBIOLOGY Peritonitis/ETIOLOGY Vibrio/ISOLATION & PURIF Vibrio Infections/*ETIOLOGY JOURNAL ARTICLE

KWDaids-relatedcomplex/KWDcomplicationscasereportdeltainfection/complicationsKWDfoodmicrobiologygastroenteritis/etiologyhepatitisb/complicationshepatitis,chronicactive/KWDcomplicationshumanlivercirrhosis/KWDcomplicationsmalemiddleageoysters/KWDmicrobiologyperitonitis/etiologyvibrio/isolation&purifvibrioinfections/KWDetiologyjournalarticle
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M8760393

Copyright © 1987 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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