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

ASJC Scopus subject areas

  • Emergency Medicine

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