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vibrio vulnificus infection in taiwan: report of 28 cases and review of clinical manifestations and treatment.from may 1985 through july 1990, 28 episodes of vibrio vulnificus infection in 27 patients were encountered in five major hospitals in taiwan. the ages of patients ranged from 19 to 76 years; the ratio of male to female patients was 2:1. eighteen episodes manifested as bacteremia and eight as wound infections alone. one patient each developed gastroenteritis and pneumonia after nearly drowning. twenty-three patients exhibited skin manifestations. twenty patients had underlying diseases. all pati ...19921520762
vibrio vulnificus infection.we report 3 cases of vibrio vulnificus infections from taiwan. patient 1, who manifested symptoms of primary septicemia, died after 2 days. patient 2, who had a wound infection and signs and symptoms of sepsis but negative blood cultures, responded to tobramycin and chloramphenicol plus surgical debridement, and recovered after 26 days of hospitalization. patient 3 had secondary septicemia originating from a wound inflicted by a shrimp. originally, the patient seemed to respond to ceftazidime an ...19892694352
in vitro antimicrobial susceptibility of vibrio vulnificus isolated in taiwan. 19957758487
vibrio vulnificus infection--report of 8 cases and review of cases in taiwan.vibrio vulnificus infection, which is a rare and fatal disease, can be categorized clinically as either primary septicemia or wound infection. the clinical presentation of patients with primary septicemia can vary from fever alone to a more severe illness including high-grade bullous lesions, hypotension, and shock. wound infection typically results from either injury to the skin in a marine environment or contact of a preexisting wound with sea water. we reported eight cases with vibrio vulnifi ...19947850649
infections due to non-o1 vibrio cholerae in southern taiwan: predominance in cirrhotic patients.although taiwan is not an area where cholera is endemic, from october 1988 to october 1997 30 episodes of non-o1, non-o139 vibrio cholerae infection were noted at the national cheng kung university hospital in taiwan. infections generally occurred in hot seasons, and two episodes were concomitant with vibrio vulnificus infection. three major clinical presentations were found: bacteremia with concurrent spontaneous bacterial peritonitis or invasive soft-tissue infections that occurred solely in c ...19989798033
isolation of vibrio vulnificus serovar e from aquatic habitats in taiwan.the existence of strains of vibrio vulnificus serovar e that are avirulent for eels is reported in this work. these isolates were recovered from water and oysters and differed from eel virulent strains in (i) fermentation and utilization of mannitol, (ii) ribotyping after hindiii digestion, and (iii) susceptibility to eel serum. lipopolysaccharide of these strains lacked the highest molecular weight immunoreactive bands, which are probably involved in serum resistance.199910049908
survey on the distribution of vibrionaceae at the seaport areas in taiwan, 1991-1994.a monthly survey on the distribution of human-pathogenic vibrionaceae of the seawater from five principal harbors in taiwan was conducted by national quarantine service from july, 1991 to february, 1994. of the total 1,167 vibrionaceae isolates, strains of vibrio alginolyticus (449 strains) were the most frequently isolated, followed by vibrio parahaemolyticus (262) , aeromonas hydrophila (153), vibrio cholerae non-o1 (86), and vibrio vulnificus (67). none of vibrio cholerae o1 was isolated. the ...199610592802
pulsed-field gel electrophoresis analysis of vibrio vulnificus strains isolated from taiwan and the united states.vibrio vulnificus is a marine bacterium that causes human wound infections and septicemia with a high mortality rate. v. vulnificus strains from different clinical and environmental sources or geographic regions have been successfully characterized by ribotyping and several other methods. pulsed-field gel electrophoresis (pfge) is a highly discriminative method, but previous studies suggested that it was not suitable for examining the correlation of v. vulnificus strains from different origins. ...200415345394
vibrio vulnificus in taiwan.residents in taiwan are often exposed to marine microorganisms through seafood and occupational exposure. the number of reported cases of infection attributable to this organism has increased since the first case was reported in 1985. the increasing number of cases may be caused by greater disease activity or improved recognition by clinicians or laboratory workers. we analyze a clinical-case series of 84 patients with vibrio vulnificus infection from 1995 to 2000 and describe the molecular epid ...200415496235
wound infections caused by vibrio vulnificus and other marine bacteria.infections caused by vibrio vulnificus were first reported in 1979 by blake et al. of the us centers for disease control. at that time described as a 'rare, unnamed halophilic lactose-fermenting vibrio species', v. vulnificus has emerged as the most virulent foodborne pathogen in the united states with a hospitalization rate of 0.910 and a case-fatality rate of 0.390. it is in addition a significant cause of potentially life-threatening wound infections. infections following ingestion of raw or ...200515962544
virulence and stress susceptibility of clinical and environmental strains of vibrio vulnificus isolated from samples from taiwan and the united states.vibrio vulnificus is an estuarine bacterium that causes severe wound infection and septicemia with high mortality. it also can be transmitted through the consumption of raw contaminated seafood and is an important foodborne pathogen. a total of 40 environmental and clinical v. vulnificus strains isolated from the united states and taiwan were analyzed for virulence in animals, the presence of virulence-associated factors, and susceptibility to environmental stresses. virulence in mice was exhibi ...200516355823
prognostic factors and antibiotics in vibrio vulnificus septicemia.immunocompromised patients with vibrio vulnificus septicemia are at high risk for fatality. when a hemorrhagic bullous necrotic cutaneous lesion (hbncl) and decreased blood pressure develop, approximately 50% of v vulnificus septicemic patients die within 48 hours. this study aimed to evaluate the risk factor(s) for fatality among patients with v vulnificus septicemia, emphasizing the role of prescribed antimicrobial agents in general and the therapeutic efficacy of the combination of a third-ge ...200617060542
necrotizing fasciitis caused by vibrio vulnificus: epidemiology, clinical findings, treatment and prevention.necrotizing fasciitis is a soft-tissue infection with a high risk of fatality. infection with vibrio vulnificus can lead to development of necrotizing fasciitis and primary septicemia, and occurs mostly in immunocompromised host-associated diseases such as hepatic disease, diabetes mellitus, chronic renal insufficiency, and adrenal insufficiency. early recognition and treatment of the infection, which are unclear, are vital to patient welfare. we studied the disease epidemiology and reviewed the ...200717674061
genotypic diversity and population structure of vibrio vulnificus strains isolated in taiwan and korea as determined by multilocus sequence typing.the genetic diversity and population structure of vibrio vulnificus isolates from korea and taiwan were investigated using pcr-based assays targeting putative virulence-related genes and multilocus sequence typing (mlst). box-pcr genomic fingerprinting identified 52 unique genotypes in 84 environmental and clinical v. vulnificus isolates. the majority (> 50%) of strains had pathogenic genotypes for all loci tested; moreover, many environmental strains had pathogenic genotypes. although significa ...201526599487
development of a multiplex polymerase chain reaction to detect five common gram-negative bacteria of aquatic animals.a multiplex polymerase chain reaction (m-pcr) technique was developed as a rapid and accurate diagnostic tool for identifying five major gram-negative bacilli -vibrio vulnificus, v. parahaemolyticus, aeromonas hydrophila, chryseobacterium meningosepticum and edwardsiella tarda- that cause major diseases in cultured aquatic animals in taiwan. the expected amplicons for v. vulnificus, v. parahaemolyticus, a. hydrophila, c. meningosepticum and e. tarda were 410, 368, 685, 180 and 230bp, respectivel ...201222571515
occurrence of vibrio parahaemolyticus, vibrio cholerae, and vibrio vulnificus in the aquacultural environments of taiwan.the occurrence of vibrio parahaemolyticus, vibrio vulnificus, and vibrio cholerae in a total of 72 samples from six aquaculture ponds for groupers, milk fish, and tilapia in southern taiwan was examined by the membrane filtration and colony hybridization method. the halophilic v. parahaemolyticus was only recovered in seawater ponds, with a high isolation frequency of 86.1% and a mean density of 2.6 log cfu/g. v. cholerae was found in both the seawater and freshwater ponds but preferentially in ...201525951392
in vitro and in vivo antibacterial activity of tigecycline against vibrio vulnificus.the aim of this study is to investigate the role of tigecycline in vibrio vulnificus infection.201627260781
comparison of skin and soft tissue infections caused by vibrio and aeromonas species.the aim of this study was to compare skin and soft tissue infections (sstis) caused by vibrio and aeromonas spp.201425126885
prognostic factor of mortality and its clinical implications in patients with necrotizing fasciitis caused by vibrio vulnificus.in taiwan, the aquatic environment and endemic hepatitis contribute to the high susceptibility of vibrio vulnificus infection. a multidisciplinary treatment protocol for necrotizing fasciitis caused by v. vulnificus was developed in our institute, namely, ceftriaxone or ceftazidime combined with doxycycline or minocycline followed by an emergency fasciotomy and intensive care unit admission. we retrospectively reviewed 100 cases to evaluate the effectiveness of our treatment protocol and identif ...201424419406
seasonality, clinical types and prognostic factors of vibrio vulnificus infection.vibrio vulnificus infection, an uncommon but life-threatening illness, manifests as two main types, primary septicemia and primary wound infections.  little information regarding the seasonality of v. vulnificus infections in tropical areas and prognostic factors of primary v. vulnificus wound infections is available.201323857388
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