Vibrio parahemolyticus

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Background

  • Shellfish exposure, especially raw oysters
  • Salt water contact with skin lesion

Vibrio species

Clinical Features

  • Gastroenteritis > wound infection >> sepsis
  • sepsis is less common, but typically occurs 7 to 48 hours after raw oyster ingestion => fever, chills, nausea/vomiting, abdominal pain => shock, bullae => death in approximately 55% [1]

Differential Diagnosis

Nausea and vomiting

Critical

Emergent

Nonemergent

Evaluation

  • Diagnosis is clinical (e.g. shellfish consumption + gastroenteritis, saltwater contact with lesion)
  • Check electrolytes for repletion if significant vomiting/diarrhea

Management

Disposition

See Also

External Links

References

  1. Blake PA, Merson MH, Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine Vibrio. Clinical characteristics and epidemiology.[N Engl J Med. 1979 Jan 4;300(1):1-5.