Vibriosis
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Vibriosis | |
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Synonyms | Vibrio infection |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Diarrhea, abdominal pain, vomiting, fever, wound infection |
Complications | Sepsis, necrotizing fasciitis |
Onset | 24 hours after exposure |
Duration | 3 to 5 days |
Types | N/A |
Causes | Vibrio species (e.g., Vibrio vulnificus, Vibrio parahaemolyticus) |
Risks | Raw seafood, warm seawater, open wounds |
Diagnosis | Stool culture, wound culture |
Differential diagnosis | Gastroenteritis, cellulitis |
Prevention | Avoiding raw or undercooked seafood, avoiding exposure of open wounds to seawater |
Treatment | Rehydration therapy, antibiotics |
Medication | Doxycycline, Ciprofloxacin |
Prognosis | Generally good with treatment, severe cases can be fatal |
Frequency | Common in coastal areas |
Deaths | Rare, but higher risk in immunocompromised individuals |
Vibriosis is an infectious disease caused by bacteria of the genus Vibrio. These bacteria are commonly found in marine and estuarine environments and can cause illness in humans and marine animals. Vibriosis is of particular concern in regions with warm coastal waters.
Causative Agents
The primary species of Vibrio responsible for vibriosis in humans include:
- Vibrio cholerae: Known for causing cholera, a severe diarrheal disease.
- Vibrio parahaemolyticus: Often associated with gastroenteritis from consuming raw or undercooked seafood.
- Vibrio vulnificus: Known for causing severe wound infections and septicemia, particularly in individuals with compromised immune systems.
Transmission
Vibriosis is typically transmitted through:
- Consumption of contaminated seafood, particularly raw or undercooked shellfish such as oysters.
- Exposure of open wounds to seawater containing Vibrio bacteria.
Symptoms
The symptoms of vibriosis can vary depending on the species of Vibrio involved:
- Gastroenteritis: Symptoms include diarrhea, abdominal cramps, nausea, vomiting, and fever. This is commonly associated with Vibrio parahaemolyticus.
- Wound infections: Symptoms include redness, swelling, and pain at the site of infection, which can progress to more severe conditions such as necrotizing fasciitis, especially with Vibrio vulnificus.
- Septicemia: Symptoms include fever, chills, decreased blood pressure, and blistering skin lesions, often associated with Vibrio vulnificus.
Risk Factors
Individuals at higher risk for vibriosis include:
- People with liver disease, diabetes, or weakened immune systems.
- Individuals who consume raw or undercooked seafood.
- People with open wounds exposed to warm seawater.
Prevention
Preventive measures for vibriosis include:
- Avoiding the consumption of raw or undercooked seafood.
- Properly cooking seafood to an internal temperature of at least 145 F (63 C).
- Avoiding exposure of open wounds to seawater, especially in areas known for Vibrio outbreaks.
Treatment
Treatment for vibriosis depends on the severity of the infection:
- Mild cases: Often self-limiting and may only require supportive care such as hydration.
- Severe cases: May require antibiotics, particularly for infections caused by Vibrio vulnificus. Wound infections may require surgical intervention.
See also
Gallery
Infectious disease and microbiology | ||||||||||||||||
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Contributors: Prab R. Tumpati, MD