Open AccessVibrio vulnificus: una causa infrecuente de shock séptico
Author(s) -
R Poblete,
Max Andresen,
Carlos González Pérez,
A Dougnac,
O Díaz,
Tomicic
Publication year - 2002
Publication title -
revista médica de chile
Language(s) - Spanish
Resource type - Journals
SCImago Journal Rank - 0.216
H-Index - 38
eISSN - 0717-6163
pISSN - 0034-9887
DOI - 10.4067/s0034-98872002000700011
Subject(s) - vibrio vulnificus , sepsis , medicine , shock (circulatory) , vibrio infections , disseminated intravascular coagulation , septic shock , vibrio , microbiology and biotechnology , surgery , bacteria , biology , genetics
Vibrio vulnificus is a lactose positive Gram negative rod that lives in warm seas and can infect wounds and produce sepsis. Its infection is acquired after eating oysters or other filtering marine organisms. We report a 53 years old diabetic male who started with fever after a voyage to Central America. He was admitted febrile, hypotense, dehydrated and polypneic. Painful erythematous lesions and lumps were observed in his upper and lower limbs. After 72 hours of evolution, the lesions became violaceous, with crepitating vesicles full of hemorrhagic exudate. He developed a renal failure and a disseminated intravascular coagulation. Blood cultures demonstrated the presence of Vibrio vulnificus and the patient died 68 hours after admission.