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Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases 11/2019

19.07.2019 | Review

Epidemiology, pathogenetic mechanism, clinical characteristics, and treatment of Vibrio vulnificus infection: a case report and literature review

verfasst von: Fei Leng, Shilong Lin, Wei Wu, Jincheng Zhang, Jieqiong Song, Ming Zhong

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 11/2019

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Abstract

Vibrio vulnificus is a Gram-negative bacterium that belongs to the Vibrionaceae family. It represents a deadly opportunistic human pathogen which grows in water with the proper temperature and salinity, and is mostly acquired from seafood eating or direct contact. In susceptible individuals, a traumatic infection could be fatal, causing severe wound infection and even septic shock, and may require amputation. Global warming plays an important role in the geographical area expanding of Vibrio disease. The pathogenesis of Vibrio vulnificus–associated sepsis is very complex, including iron intake, cell injury, and adhesion-related protein and virulence regulation. Vibrio vulnificus infection mainly manifests clinical subtypes such as primary sepsis, traumatic infection, and gastroenteritis, with rapid symptom progression and signs of multiple organ dysfunction syndrome (MODS). It is important to assess these pathogenetic mechanisms in order to select more appropriate measures to prevent and treat Vibrio vulnificus infections, including antibiotic usage and surgical intervention. In this work, we report a typical case of successful treatment of necrotizing fasciitis caused by Vibrio vulnificus, and review the epidemiology, pathogenetic mechanism, clinical characteristics, and treatment of Vibrio vulnificus infection.
Literatur
3.
Zurück zum Zitat Williams TC, Froelich BA, Phippen B, Fowler P, Noble RT, Oliver JD (2017) Different abundance and correlational patterns exist between total and presumed pathogenic Vibrio vulnificus and V. parahaemolyticus in shellfish and waters along the North Carolina coast. FEMS Microbiol Ecol 93(6). https://doi.org/10.1093/femsec/fix071 Williams TC, Froelich BA, Phippen B, Fowler P, Noble RT, Oliver JD (2017) Different abundance and correlational patterns exist between total and presumed pathogenic Vibrio vulnificus and V. parahaemolyticus in shellfish and waters along the North Carolina coast. FEMS Microbiol Ecol 93(6). https://​doi.​org/​10.​1093/​femsec/​fix071
5.
Zurück zum Zitat Oishi H, Ura Y, Mitsumizo S, Nakashima M (2006) A collective review of Vibrio vulnificus infection in Japan. Kansenshogaku Zasshi 80(6):680–689CrossRef Oishi H, Ura Y, Mitsumizo S, Nakashima M (2006) A collective review of Vibrio vulnificus infection in Japan. Kansenshogaku Zasshi 80(6):680–689CrossRef
10.
Zurück zum Zitat Igbinosa EO, Obi CL, Okoh AI (2011) Seasonal abundance and distribution of Vibrio species in the treated effluent of wastewater treatment facilities in suburban and urban communities of Eastern Cape Province, South Africa. J Microbiol (Seoul, Korea) 49(2):224–232. https://doi.org/10.1007/s12275-011-0227-x CrossRef Igbinosa EO, Obi CL, Okoh AI (2011) Seasonal abundance and distribution of Vibrio species in the treated effluent of wastewater treatment facilities in suburban and urban communities of Eastern Cape Province, South Africa. J Microbiol (Seoul, Korea) 49(2):224–232. https://​doi.​org/​10.​1007/​s12275-011-0227-x CrossRef
11.
Zurück zum Zitat Singleton FL, Attwell R, Jangi S, Colwell RR (1982) Effects of temperature and salinity on Vibrio cholerae growth. Appl Environ Microbiol 44(5):1047–1058PubMedPubMedCentral Singleton FL, Attwell R, Jangi S, Colwell RR (1982) Effects of temperature and salinity on Vibrio cholerae growth. Appl Environ Microbiol 44(5):1047–1058PubMedPubMedCentral
13.
Zurück zum Zitat Johnson CN, Bowers JC, Griffitt KJ, Molina V, Clostio RW, Pei S, Laws E, Paranjpye RN, Strom MS, Chen A, Hasan NA, Huq A, Noriea NF 3rd, Grimes DJ, Colwell RR (2012) Ecology of Vibrio parahaemolyticus and Vibrio vulnificus in the coastal and estuarine waters of Louisiana, Maryland, Mississippi, and Washington (United States). Appl Environ Microbiol 78(20):7249–7257. https://doi.org/10.1128/aem.01296-12 CrossRefPubMedPubMedCentral Johnson CN, Bowers JC, Griffitt KJ, Molina V, Clostio RW, Pei S, Laws E, Paranjpye RN, Strom MS, Chen A, Hasan NA, Huq A, Noriea NF 3rd, Grimes DJ, Colwell RR (2012) Ecology of Vibrio parahaemolyticus and Vibrio vulnificus in the coastal and estuarine waters of Louisiana, Maryland, Mississippi, and Washington (United States). Appl Environ Microbiol 78(20):7249–7257. https://​doi.​org/​10.​1128/​aem.​01296-12 CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Macian MC, Arias CR, Aznar R, Garay E, Pujalte MJ (2000) Identification of Vibrio spp. (other than V. vulnificus) recovered on CPC agar from marine natural samples. Int Microbiol 3(1):51–53PubMed Macian MC, Arias CR, Aznar R, Garay E, Pujalte MJ (2000) Identification of Vibrio spp. (other than V. vulnificus) recovered on CPC agar from marine natural samples. Int Microbiol 3(1):51–53PubMed
17.
Zurück zum Zitat Bisharat N, Agmon V, Finkelstein R, Raz R, Ben-Dror G, Lerner L, Soboh S, Colodner R, Cameron DN, Wykstra DL, Swerdlow DL, Farmer JJ 3rd (1999) Clinical, epidemiological, and microbiological features of Vibrio vulnificus biogroup 3 causing outbreaks of wound infection and bacteraemia in Israel. Israel Vibrio Study Group Lancet (London, England) 354(9188):1421–1424CrossRef Bisharat N, Agmon V, Finkelstein R, Raz R, Ben-Dror G, Lerner L, Soboh S, Colodner R, Cameron DN, Wykstra DL, Swerdlow DL, Farmer JJ 3rd (1999) Clinical, epidemiological, and microbiological features of Vibrio vulnificus biogroup 3 causing outbreaks of wound infection and bacteraemia in Israel. Israel Vibrio Study Group Lancet (London, England) 354(9188):1421–1424CrossRef
20.
Zurück zum Zitat Motes ML, DePaola A, Cook DW, Veazey JE, Hunsucker JC, Garthright WE, Blodgett RJ, Chirtel SJ (1998) Influence of water temperature and salinity on Vibrio vulnificus in Northern Gulf and Atlantic Coast oysters (Crassostrea virginica). Appl Environ Microbiol 64(4):1459–1465PubMedPubMedCentral Motes ML, DePaola A, Cook DW, Veazey JE, Hunsucker JC, Garthright WE, Blodgett RJ, Chirtel SJ (1998) Influence of water temperature and salinity on Vibrio vulnificus in Northern Gulf and Atlantic Coast oysters (Crassostrea virginica). Appl Environ Microbiol 64(4):1459–1465PubMedPubMedCentral
21.
Zurück zum Zitat Watanabe H, Miyoshi S, Kawase T, Tomochika K, Shinoda S (2004) High growing ability of Vibrio vulnificus biotype 1 is essential for production of a toxic metalloprotease causing systemic diseases in humans. Microb Pathog 36(3):117–123CrossRef Watanabe H, Miyoshi S, Kawase T, Tomochika K, Shinoda S (2004) High growing ability of Vibrio vulnificus biotype 1 is essential for production of a toxic metalloprotease causing systemic diseases in humans. Microb Pathog 36(3):117–123CrossRef
22.
Zurück zum Zitat Kaspar CW, Tamplin ML (1993) Effects of temperature and salinity on the survival of Vibrio vulnificus in seawater and shellfish. Appl Environ Microbiol 59(8):2425–2429PubMedPubMedCentral Kaspar CW, Tamplin ML (1993) Effects of temperature and salinity on the survival of Vibrio vulnificus in seawater and shellfish. Appl Environ Microbiol 59(8):2425–2429PubMedPubMedCentral
23.
Zurück zum Zitat Miyoshi N, Shimizu C, Miyoshi S, Shinoda S (1987) Purification and characterization of Vibrio vulnificus protease. Microbiol Immunol 31(1):13–25CrossRef Miyoshi N, Shimizu C, Miyoshi S, Shinoda S (1987) Purification and characterization of Vibrio vulnificus protease. Microbiol Immunol 31(1):13–25CrossRef
24.
Zurück zum Zitat Shinoda S, Miyoshi S (2011) Proteases produced by vibrios. Biocontrol Sci 16(1):1–11CrossRef Shinoda S, Miyoshi S (2011) Proteases produced by vibrios. Biocontrol Sci 16(1):1–11CrossRef
27.
Zurück zum Zitat Shapiro RL, Altekruse S, Hutwagner L, Bishop R, Hammond R, Wilson S, Ray B, Thompson S, Tauxe RV, Griffin PM (1998) The role of Gulf Coast oysters harvested in warmer months in Vibrio vulnificus infections in the United States, 1988-1996. Vibrio Working Group. J Infect Dis 178(3):752–759CrossRef Shapiro RL, Altekruse S, Hutwagner L, Bishop R, Hammond R, Wilson S, Ray B, Thompson S, Tauxe RV, Griffin PM (1998) The role of Gulf Coast oysters harvested in warmer months in Vibrio vulnificus infections in the United States, 1988-1996. Vibrio Working Group. J Infect Dis 178(3):752–759CrossRef
38.
Zurück zum Zitat Arici E, Evald A, Holmgaard DB, Quist L, Poulsen SD, Worm SW (2017) Amputation of an arm due to infection with Vibrio vulnificus after beach holiday. Ugeskr Laeger 179(48) Arici E, Evald A, Holmgaard DB, Quist L, Poulsen SD, Worm SW (2017) Amputation of an arm due to infection with Vibrio vulnificus after beach holiday. Ugeskr Laeger 179(48)
46.
Zurück zum Zitat Zanetti S, Spanu T, Deriu A, Romano L, Sechi LA, Fadda G (2001) In vitro susceptibility of Vibrio spp. isolated from the environment. Int J Antimicrob Agents 17(5):407–409CrossRef Zanetti S, Spanu T, Deriu A, Romano L, Sechi LA, Fadda G (2001) In vitro susceptibility of Vibrio spp. isolated from the environment. Int J Antimicrob Agents 17(5):407–409CrossRef
48.
Zurück zum Zitat Trinh SA, Gavin HE, Satchell KJF (2017) Efficacy of ceftriaxone, cefepime, doxycycline, ciprofloxacin, and combination therapy for Vibrio vulnificus foodborne septicemia. Antimicrob Agents Chemother 61(12):e01106–17. https://doi.org/10.1128/aac.01106-17 Trinh SA, Gavin HE, Satchell KJF (2017) Efficacy of ceftriaxone, cefepime, doxycycline, ciprofloxacin, and combination therapy for Vibrio vulnificus foodborne septicemia. Antimicrob Agents Chemother 61(12):e01106–17. https://​doi.​org/​10.​1128/​aac.​01106-17
49.
Zurück zum Zitat Tang HJ, Chang MC, Ko WC, Huang KY, Lee CL, Chuang YC (2002) In vitro and in vivo activities of newer fluoroquinolones against Vibrio vulnificus. Antimicrob Agents Chemother 46(11):3580–3584CrossRef Tang HJ, Chang MC, Ko WC, Huang KY, Lee CL, Chuang YC (2002) In vitro and in vivo activities of newer fluoroquinolones against Vibrio vulnificus. Antimicrob Agents Chemother 46(11):3580–3584CrossRef
52.
Zurück zum Zitat Osaka K, Komatsuzaki M, Takahashi H, Sakano S, Okabe N (2004) Vibrio vulnificus septicaemia in Japan: an estimated number of infections and physicians’ knowledge of the syndrome. Epidemiol Infect 132(5):993–996CrossRef Osaka K, Komatsuzaki M, Takahashi H, Sakano S, Okabe N (2004) Vibrio vulnificus septicaemia in Japan: an estimated number of infections and physicians’ knowledge of the syndrome. Epidemiol Infect 132(5):993–996CrossRef
Metadaten
Titel
Epidemiology, pathogenetic mechanism, clinical characteristics, and treatment of Vibrio vulnificus infection: a case report and literature review
verfasst von
Fei Leng
Shilong Lin
Wei Wu
Jincheng Zhang
Jieqiong Song
Ming Zhong
Publikationsdatum
19.07.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 11/2019
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-019-03629-5

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