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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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초록· 키워드
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Vibrio vulnificus infection can lead to the rapid expansion of cellulitis or sepsis and can be lethal. Vibrio vulnificus is transmitted through seawater or ingestion of raw or undercooked shellfish. We experienced an uncommon case of death due to Vibrio sepsis, which was confirmed by autopsy. A 56-year-old man who was a sailor was found dead in a fishing boat. Autopsy was performed 3 days later. External examination revealed a few blisters and erythematous lesions on both legs. Internal examination revealed a fatty liver and edema of the legs. The skin lesions on the legs showed blisters that extended from the epidermis to the dermis, accompanied by massive acute inflammation in the dermis and subcutaneous tissue with multinuclear giant cells, as noted on the histologic examination. Vibrio vulnificus was isolated from postmortem blood and subcutaneous tissue of the leg. To the best of our knowledge, this is the first autopsy case in Korea in which Vibrio vulnificus was isolated from postmortem blood. Herein, we present a case of sepsis due to Vibrio vulnificus which was confirmed by autopsy, pathological findings, and postmortem microbiological culture.
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참고문헌 (8)
참고문헌 신청
Klontz KC / 1988 / Syndromes of Vibrio vulnificus infections: clinical and epidemiologic features in Florida cases, 1981-1987 / Ann Intern Med 109 : 318 ~ 323
Manifold IH / 1983 / Kupffer-cell depletion in chronic liver disease: implications for hepatic carcinogenesis / Lancet 2 : 431 ~ 433
Riedel S. / 2014 / The value of postmortem microbiology cultures / J Clin Microbiol 52 : 1028 ~ 1033
Tajiri T / 2008 / Autopsy cases of fulminanttype bacterial infection with necrotizing fasciitis: group A (beta) hemolytic Streptococcus pyogenes versus Vibrio vulnificus infe
Tajiri T / 2012 / Autopsy cases of fulminant bacterial infection in adults: clinical onset depends on the virulence of bacteria and patient immune status / J Infect Chemother
Manifold IH / 1983 / Kupffer-cell depletion in chronic liver disease: implications for hepatic carcinogenesis / Lancet 2 : 431 ~ 433
Riedel S. / 2014 / The value of postmortem microbiology cultures / J Clin Microbiol 52 : 1028 ~ 1033
Tajiri T / 2008 / Autopsy cases of fulminanttype bacterial infection with necrotizing fasciitis: group A (beta) hemolytic Streptococcus pyogenes versus Vibrio vulnificus infe
Tajiri T / 2012 / Autopsy cases of fulminant bacterial infection in adults: clinical onset depends on the virulence of bacteria and patient immune status / J Infect Chemother
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