<i>Vibrio vulnificus</i>Infections From a Previously Nonendemic Area
Authors: Madeline King, Lucia Rose, Henry Fraimow, Maria Nagori, Mobeen Danish, Katherine Doktor
Journal: Annals of Internal Medicine (2019)

Letters1 October 2019Vibrio vulnificus Infections From a Previously Nonendemic AreaMadeline King, PharmD*, Lucia Rose, PharmD*, Henry Fraimow, MD, Maria Nagori, MD, Mobeen Danish, MD, and Katherine Doktor, MDMadeline King, PharmD*University of the Sciences, Philadelphia, Pennsylvania (M.K.), Lucia Rose, PharmD*Cooper University Hospital, Camden, New Jersey (L.R., H.F., M.D., K.D.), Henry Fraimow, MDCooper University Hospital, Camden, New Jersey (L.R., H.F., M.D., K.D.), Maria Nagori, MDGeisinger Health System, Scranton, Pennsylvania (M.N.), Mobeen Danish, MDCooper University Hospital, Camden, New Jersey (L.R., H.F., M.D., K.D.), and Katherine Doktor, MDCooper University Hospital, Camden, New Jersey (L.R., H.F., M.D., K.D.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0133 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background:Vibrio vulnificus is a gram-negative pathogen that lives in brackish, high-salinity waters with surface temperatures above 13 °C. V vulnificus wound infections occur through breaks in the skin, and intestinal infections occur after consumption of seafood. Either route can lead to bloodstream infections (1). Mortality from wound and bloodstream infections is high, particularly in patients with immunosuppression and those with cirrhosis or other iron-overload states (2).Vibrio vulnificus is endemic along the southeastern U.S. coast. Cases of V vulnificus infection have also been reported from the Chesapeake Bay but are rarely reported from the Delaware Bay, which is farther north and ...References1. Bross MH, Soch K, Morales R, et al. Vibrio vulnificus infection: diagnosis and treatment. Am Fam Physician. 2007;76:539-44. [PMID: 17853628] MedlineGoogle Scholar2. Wright AC, Simpson LM, Oliver JD. Role of iron in the pathogenesis of Vibrio vulnificus infections. Infect Immun. 1981;34:503-7. [PMID: 7309236] CrossrefMedlineGoogle Scholar3. Martinez-Urtaza J, Bowers JC, Trinanes J, et al. Climate anomalies and the increasing risk of Vibrio parahaemolyticus and Vibrio vulnificus illnesses. Food Res Int. 2010;43:1780-90. doi:10.1016/j.foodres.2010.04.001 CrossrefGoogle Scholar4. Jones EH, Feldman KA, Palmer A, et al. Vibrio infections and surveillance in Maryland, 2002–2008. Public Health Rep. 2013;128:537-45. [PMID: 24179265] CrossrefMedlineGoogle Scholar5. National Centers for Environmental Information. Climate at a Glance: Global Mapping. Asheville, NC: National Centers for Environmental Information; 2019. Accessed at www.ncdc.noaa.gov/cag on 3 April 2019. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of the Sciences, Philadelphia, Pennsylvania (M.K.)Cooper University Hospital, Camden, New Jersey (L.R., H.F., M.D., K.D.)Geisinger Health System, Scranton, Pennsylvania (M.N.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0133.* Drs. King and Rose contributed equally to this work.This article was published at Annals.org on 18 June 2019. 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