Vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis: a case report
Abstract Background Vibrio vulnificus is typically present in seawater, fish, and shellfish, and is known to cause severe sepsis, particularly in patients with liver diseases such as cirrhosis. V. vulnificus is one of the most dangerous waterborne pathogens, and infection mainly occurs in western Ja...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-01-01
|
| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-03767-7 |
| _version_ | 1811175849917939712 |
|---|---|
| author | Eishi Sakihara Ikuma Noge Hiroki Suzuyama Hiroaki Takeoka Shigeki Nabeshima |
| author_facet | Eishi Sakihara Ikuma Noge Hiroki Suzuyama Hiroaki Takeoka Shigeki Nabeshima |
| author_sort | Eishi Sakihara |
| collection | DOAJ |
| description | Abstract Background Vibrio vulnificus is typically present in seawater, fish, and shellfish, and is known to cause severe sepsis, particularly in patients with liver diseases such as cirrhosis. V. vulnificus is one of the most dangerous waterborne pathogens, and infection mainly occurs in western Japan during the summer, with an increased fatality rate. Herein, we report the case of a patient with primary biliary cholangitis and sepsis caused by V. vulnificus infection sustained through shrimp shelling. Case presentation An 82-year-old Japanese Asian woman with no medical history or underlying disease developed redness, swelling, and pain, which extended from the right fingers to the upper arm. A diagnosis of sepsis due to cellulitis was made. Blood culture detected V. vulnificus; thus, minocycline was administered in addition to meropenem. The disease course was uneventful, and the patient was discharged on day 28 of hospitalization. Symptoms in the right upper arm developed 1 day after the patient shelled a large number of shrimp; therefore, the infection route was assumed to be through wounds sustained during shrimp shelling. We suspected liver disease and measured serum anti-mitochondrial M2 antibody levels, leading to the diagnosis of primary biliary cholangitis. Conclusions As in this case, small wounds caused by handling fish and shrimp are a potential source of infection. Patients with severe V. vulnificus infection should be thoroughly assessed for the presence of liver diseases such as primary biliary cholangitis. |
| first_indexed | 2024-04-10T19:43:39Z |
| format | Article |
| id | doaj.art-f4c1b32671e44b579e04042bcc312c2d |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-10T19:43:39Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-f4c1b32671e44b579e04042bcc312c2d2023-01-29T12:13:23ZengBMCJournal of Medical Case Reports1752-19472023-01-011711510.1186/s13256-023-03767-7Vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis: a case reportEishi Sakihara0Ikuma Noge1Hiroki Suzuyama2Hiroaki Takeoka3Shigeki Nabeshima4General Medicine, Fukuoka University HospitalGeneral Medicine, Fukuoka University HospitalTagawa Municipal HospitalGeneral Medicine, Fukuoka University HospitalGeneral Medicine, Fukuoka University HospitalAbstract Background Vibrio vulnificus is typically present in seawater, fish, and shellfish, and is known to cause severe sepsis, particularly in patients with liver diseases such as cirrhosis. V. vulnificus is one of the most dangerous waterborne pathogens, and infection mainly occurs in western Japan during the summer, with an increased fatality rate. Herein, we report the case of a patient with primary biliary cholangitis and sepsis caused by V. vulnificus infection sustained through shrimp shelling. Case presentation An 82-year-old Japanese Asian woman with no medical history or underlying disease developed redness, swelling, and pain, which extended from the right fingers to the upper arm. A diagnosis of sepsis due to cellulitis was made. Blood culture detected V. vulnificus; thus, minocycline was administered in addition to meropenem. The disease course was uneventful, and the patient was discharged on day 28 of hospitalization. Symptoms in the right upper arm developed 1 day after the patient shelled a large number of shrimp; therefore, the infection route was assumed to be through wounds sustained during shrimp shelling. We suspected liver disease and measured serum anti-mitochondrial M2 antibody levels, leading to the diagnosis of primary biliary cholangitis. Conclusions As in this case, small wounds caused by handling fish and shrimp are a potential source of infection. Patients with severe V. vulnificus infection should be thoroughly assessed for the presence of liver diseases such as primary biliary cholangitis.https://doi.org/10.1186/s13256-023-03767-7Vibrio vulnificusPrimary biliary cholangitisShrimp shelling |
| spellingShingle | Eishi Sakihara Ikuma Noge Hiroki Suzuyama Hiroaki Takeoka Shigeki Nabeshima Vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis: a case report Journal of Medical Case Reports Vibrio vulnificus Primary biliary cholangitis Shrimp shelling |
| title | Vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis: a case report |
| title_full | Vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis: a case report |
| title_fullStr | Vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis: a case report |
| title_full_unstemmed | Vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis: a case report |
| title_short | Vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis: a case report |
| title_sort | vibrio vulnificus sepsis after shrimp shelling in a patient with preexisting primary biliary cholangitis a case report |
| topic | Vibrio vulnificus Primary biliary cholangitis Shrimp shelling |
| url | https://doi.org/10.1186/s13256-023-03767-7 |
| work_keys_str_mv | AT eishisakihara vibriovulnificussepsisaftershrimpshellinginapatientwithpreexistingprimarybiliarycholangitisacasereport AT ikumanoge vibriovulnificussepsisaftershrimpshellinginapatientwithpreexistingprimarybiliarycholangitisacasereport AT hirokisuzuyama vibriovulnificussepsisaftershrimpshellinginapatientwithpreexistingprimarybiliarycholangitisacasereport AT hiroakitakeoka vibriovulnificussepsisaftershrimpshellinginapatientwithpreexistingprimarybiliarycholangitisacasereport AT shigekinabeshima vibriovulnificussepsisaftershrimpshellinginapatientwithpreexistingprimarybiliarycholangitisacasereport |