Publication: Spontaneous Vibrio vulnificus Peritonitis and Primary Sepsis in Two Patients with Alcoholic Cirrhosis
Issued Date
1985-01-01
Resource Type
ISSN
15720241
00029270
00029270
Other identifier(s)
2-s2.0-0022370963
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Mahidol University
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SCOPUS
Bibliographic Citation
The American Journal of Gastroenterology. Vol.80, No.9 (1985), 706-708
Suggested Citation
V. Wongpaitoon, B. Sathapatayavongs, R. Prachaktam, S. Bunyaratvej, S. Kurathong Spontaneous Vibrio vulnificus Peritonitis and Primary Sepsis in Two Patients with Alcoholic Cirrhosis. The American Journal of Gastroenterology. Vol.80, No.9 (1985), 706-708. doi:10.1111/j.1572-0241.1985.tb02212.x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/30876
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Title
Spontaneous Vibrio vulnificus Peritonitis and Primary Sepsis in Two Patients with Alcoholic Cirrhosis
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Abstract
Two patients with alcoholic cirrhosis were seen on two separate occasions for fever, swollen legs, petechial hemorrhage, purpura, and cutaneous bullae. One patient ate oysters 2 days before the onset of illness. Vibrio vulnificus a lactose‐positive halophilic vibrio, was isolated from the ascitic and cutaneous fluid in both cases, and from the blood in one of the two cases. Both isolated strains were sensitive to the antibiotics given to the patients from the beginning; however, both patients died, one from septicemic shock and the other from massive esophageal variceal hemorrhage. Autopsies in both patients revealed alcoholic cirrhosis, hemorrhagic necrosis of the terminal ileum, intraalveolar hemorrhage, petechial hemorrhage in the peritoneum, and nonspecific acute inflammation of the dermis with vasculitis. Physicians should consider V. vulnificus in the differential diagnosis of cirrhotic patients with sepsis, primary skin lesions, and spontaneous bacterial peritonitis with or without history of recent oyster ingestion. Copyright © 1985, Wiley Blackwell. All rights reserved