| Lower extremity infections by vibrio vulnificus. | |
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MedLine Citation:
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PMID: 18457099 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Vibrio vulnificus is a Gram-negative pathogen which is found in seawater and shellfish during warm months and can cause local infections in healthy individuals or septicemia in patients with chronic liver disease. MATERIALS-METHODS: Clinical and laboratory records of four complicated cases are presented, with a 4.2 mean year follow-up. RESULTS: Three patients underwent urgent leg amputation because of of irreversible necrotic changes with septic complications and failure of incisional drainage to control the infection. Another one patient underwent only excision of necrotic soft tissue but he developed calcaneus osteomyelitis after three years of the initial fish bone injury. DISCUSSION: Clinicians must maintain a high index of suspicion, especially in regions endemic for vibrio necrotising fasciitis and antibiotic prophylaxis must be given to swimmers before or during bathing. |
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Authors:
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G Mouzopoulos; M Stamatakos; M Tzurbakis; G Batanis; E Michou; D Mouzopoulos; A Tsembeli; R Iannescu; M Safioleas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chirurgia (Bucharest, Romania : 1990) Volume: 103 ISSN: 1221-9118 ISO Abbreviation: Chirurgia (Bucur) Publication Date: 2008 Mar-Apr |
Date Detail:
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Created Date: 2008-05-06 Completed Date: 2008-06-19 Revised Date: 2012-09-10 |
Medline Journal Info:
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Nlm Unique ID: 9213031 Medline TA: Chirurgia (Bucur) Country: Romania |
Other Details:
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Languages: eng Pagination: 201-3 Citation Subset: IM |
Affiliation:
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Department of Evangelismos Hospital, Athens, Greece. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Amputation Animals Anti-Bacterial Agents / therapeutic use Fasciitis, Necrotizing / diagnosis*, drug therapy, epidemiology, microbiology, surgery, therapy* Female Fishes Foot* Greece / epidemiology Humans Leg Lower Extremity Male Middle Aged Prospective Studies Treatment Outcome Vibrio Infections / diagnosis*, drug therapy, epidemiology, surgery, therapy* Vibrio vulnificus / isolation & purification* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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