A fish-stunning wound infection with acute cardiac injury.

Khee Siang Chan, Kuo Chen Cheng, Mei Feng Lee, Wen Liang Yu

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 cephalosporinbased 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.

Original languageEnglish
JournalThe American journal of emergency medicine
Volume32
Issue number3
Publication statusPublished - 2014

Fingerprint

Wound Infection
Fishes
cefpirome
Wounds and Injuries
Hemorrhagic Septicemia
Vibrio vulnificus
Low Cardiac Output
Minocycline
Dobutamine
Cephalosporins
Ciprofloxacin
Infection
Tetracycline
Resuscitation
Foot
Sepsis
Anti-Bacterial Agents
Therapeutics

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

A fish-stunning wound infection with acute cardiac injury. / Chan, Khee Siang; Cheng, Kuo Chen; Lee, Mei Feng; Yu, Wen Liang.

In: The American journal of emergency medicine, Vol. 32, No. 3, 2014.

Research output: Contribution to journalArticle

Chan, Khee Siang ; Cheng, Kuo Chen ; Lee, Mei Feng ; Yu, Wen Liang. / A fish-stunning wound infection with acute cardiac injury. In: The American journal of emergency medicine. 2014 ; Vol. 32, No. 3.
@article{6c1ae13777214e548fa2ca52d5217f9b,
title = "A fish-stunning wound infection with acute cardiac injury.",
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 cephalosporinbased 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.",
author = "Chan, {Khee Siang} and Cheng, {Kuo Chen} and Lee, {Mei Feng} and Yu, {Wen Liang}",
year = "2014",
language = "English",
volume = "32",
journal = "American Journal of Emergency Medicine",
issn = "0735-6757",
publisher = "W.B. Saunders",
number = "3",

}

TY - JOUR

T1 - A fish-stunning wound infection with acute cardiac injury.

AU - Chan, Khee Siang

AU - Cheng, Kuo Chen

AU - Lee, Mei Feng

AU - Yu, Wen Liang

PY - 2014

Y1 - 2014

N2 - 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 cephalosporinbased 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.

AB - 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 cephalosporinbased 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.

UR - http://www.scopus.com/inward/record.url?scp=85028119837&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028119837&partnerID=8YFLogxK

M3 - Article

VL - 32

JO - American Journal of Emergency Medicine

JF - American Journal of Emergency Medicine

SN - 0735-6757

IS - 3

ER -