A fish-stunning wound infection with acute cardiac injury

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Title:	A fish-stunning wound infection with acute cardiac injury
Authors:	Chan, Khee-Siang Cheng, Kuo-Chen Lee, Mei-Feng Yu, Wen-Liang
Contributors:	保健營養系
Keywords:	VIBRIO-VULNIFICUS SEPTIC SHOCK SEPSIS
Date:	2014-03
Issue Date:	2015-05-06 21:17:52 (UTC+8)
Publisher:	W B Saunders Co-Elsevier Inc
Abstract:	Vibrio vulnificus typically causes septicemia and necrotic wound infection. Among V vulnificus-related complications, acute nonthrombotic myocardial damage has not been reported. The most effective antibiotic treatment of V vulnificus infection includes combination of a third-generation cephalosporin and a tetracycline or its analogue. However, recommendations of a fourth-generation cephalosporin-based regimen for treating the disease are not established. A 67-year-old diabetic man acquired V vulnificus infection via a fish-stunning wound on the right foot. The patients developed septicemia and hemorrhagic bullous necrotic wounds and followed by acute nonthrombotic cardiac injury with low cardiac output. After initial resuscitation, we applied dobutamine inotropic therapy with combination of cefpirome and ciprofloxacin or minocycline, which achieved a good clinical outcome.
Relation:	American Journal of Emergency Medicine, v.32 n.3, 2980
Appears in Collections:	[Dept. of Health and Nutrition (including master's program)] Periodical Articles

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