Document Detail

Vibrio vulnificus bacteremia associated with chronic lymphocytic leukemia, hypogammaglobulinemia, and hepatic cirrhosis: relation to host and exposure factors in 252 V. vulnificus infections reported in Louisiana.
MedLine Citation:
PMID:  17031249     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Vibrio vulnificus infection in persons with B-chronic lymphocytic leukemia (B-CLL) or hypogammaglobulinemia has been reported infrequently. PATIENT AND METHODS: A woman with B-CLL, hypogammaglobulinemia, and hepatic cirrhosis died of V. vulnificus bacteremia after eating cooked shrimp and crabs. We reviewed host and exposure data in 252 cases of V. vulnificus infection reported in Louisiana during the interval of 1980 through 2004. RESULTS: V. vulnificus was isolated from blood in 122 cases (48.8%). Preexisting conditions in 138 cases included liver disease (41.3%), malignancy (13.8%), and immunosuppression (9.4%). The prevalence of preexisting conditions was significantly greater in cases with positive blood cultures than in cases with positive wound or stool cultures. Exposure data in 116 cases revealed crab consumption without raw oyster consumption or seawater exposure in 3.4%. CONCLUSION: The present patient had several conditions associated with increased risk of V. vulnificus infection and bacteremia, especially hepatic cirrhosis, but her route of exposure to V. vulnificus was unusual.
James C Barton; Raoult C Ratard
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  332     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-10     Completed Date:  2006-11-28     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  216-20     Citation Subset:  AIM; IM    
Southern Iron Disorders Center, and the Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35029, USA.
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MeSH Terms
Agammaglobulinemia / complications,  epidemiology*,  microbiology
Bacteremia / epidemiology*,  microbiology
Child, Preschool
Foodborne Diseases / epidemiology,  microbiology
Immunocompromised Host
Immunosuppression / adverse effects
Leukemia, Lymphocytic, Chronic, B-Cell / complications,  epidemiology*,  microbiology
Liver Cirrhosis / complications,  epidemiology*,  microbiology
Middle Aged
Retrospective Studies
Risk Factors
Seafood / microbiology
Vibrio Infections / epidemiology*,  etiology
Vibrio vulnificus*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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