Vibrio parahemolyticus: Difference between revisions
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==Management== | ==Management== | ||
*Hydration (e.g. [[ORS]]) | *Gastroenteritis | ||
*[[ | **Hydration (e.g. [[ORS]]) | ||
**Antibiotics ([[Floroquinolone]] OR [[doxycycline]]) only in severe or prolonged cases | |||
**Notify public health authorities if epidemic food-borne illness is suspected | |||
*Sepsis, Wound Infections | |||
**Treat severe disease only | **Treat severe disease only | ||
**[[Floroquinolone]] OR [[doxycycline]] OR third-generation [[cephalosporin]] | **[[Floroquinolone]] OR [[doxycycline]] OR third-generation [[cephalosporin]] | ||
**Treat for 7 to 14 days | |||
*Necrotizing Fasciitis | |||
**Emergent surgical consultation | |||
==Disposition== | ==Disposition== | ||
Revision as of 20:36, 28 July 2016
Background
- Shellfish exposure, especially raw oysters
- Salt water contact with skin lesion
Vibrio species
Clinical Features
- gastroenteritis > wound infection >> sepsis
- sepsis is rare, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, N/V, abd pain => shock, bullae => death in approx 55%
Differential Diagnosis
Evaluation
Management
- Gastroenteritis
- Hydration (e.g. ORS)
- Antibiotics (Floroquinolone OR doxycycline) only in severe or prolonged cases
- Notify public health authorities if epidemic food-borne illness is suspected
- Sepsis, Wound Infections
- Treat severe disease only
- Floroquinolone OR doxycycline OR third-generation cephalosporin
- Treat for 7 to 14 days
- Necrotizing Fasciitis
- Emergent surgical consultation