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Vibrio vulnificus Infections Associated with Raw Oyster Comsumption—Florida, 1981-1992

Vibrio vulnificus Infections Associated with Raw Oyster Comsumption—Florida, 1981-1992 Abstract VIBRIO VULNIFICUS is a gram-negative bacterium that can cause serious illness and death in persons with preexisting liver disease or compromised immune systems. From 1981 through 1992, 125 persons with V. vulnificus infections, of whom 44 (35%) died, were reported to the Florida Department of Health and Rehabilitative Services (HRS). This report summarizes data on these cases and presents estimates of the at-risk population in Florida. The infections generally occurred each year from March through December and peaked from May through October. Seventy-two persons (58%) had primary septicemia, 35 (28%) had wound infections, and 18 (14%) had gastroenteritis. In patients with primary septicemia, 58 infections (81%) occurred among persons with a history of raw oyster consumption during the week before onset of illness. The mean age of these persons was 60 years (range:33-90 years; standard deviation: 12.9years); 51 (88%) were male. Fourteen (78%) of the patients with gastroenteritis also had raw oysterassociated illness. Their mean age was 49 years (range 19-89 years; standard deviation: 25.7 years); seven (50%) were male. References 1. The Food and Drug Administration (FDA) publishes brochures on seafood safely, including ones with special information for patients with liver diseases, immune disorders, gastrointestinal disorders, or diabetes mellitus. Free brochures are available to patients and their physicians from the FDA's 24-hour Seafood Safety Hotline, (800)332-4010 ([800]FDA-4010); in the Washington, D.C., area the number is (202)205-4314. 2. Desenclos JA, Klontz KC, Wolfe Le, Hoercherl S. The risk of Vbrio illness in the Florida raw oyster eating population, 1981-1988 . Am J Epidemiol 1991;143-290-7. 3. Blake PA, Merson MH,Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine vibrio: clinical charateristics and epidemiology . N Engl J Med 1979;300:1-4.Crossref 4. Levine WC, Griffin PM, the Gulf Coast Vibrio Working Group. Vibrio infections on the Gulf Coast: the results of a first year of regional surveillance . J Infect Dis 1993;167:479-83 5. Tacket CO, Brenner F, Blake PA. Clinical features and an epidemiological study of Vibrio vulnificus infections . J Infect Dis 1984;149:558-61.Crossref 6. Johnston JM, Becker SF, McFarland LM. Vibrio vulnificus: man and the sea . JAMA 1985;253: 2850-3.Crossref 7. Johnson AR, Anderson CR, Rodrick GE. A survey to determine the awareness of hazards related to raw seafood ingestion in at risk patient groups . In: Proceedings of the 13th annual conference of the Tropical and Subtropical Fisheries Technology Society of the Americas . Gulf Shores, Alabama: Tropical and Subtropical Fisheries Technology Society of the Americas, (October) 1988. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Vibrio vulnificus Infections Associated with Raw Oyster Comsumption—Florida, 1981-1992

Archives of Dermatology , Volume 129 (8) – Aug 1, 1993
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References (31)

Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1993.01680290029004
Publisher site
See Article on Publisher Site

Abstract

Abstract VIBRIO VULNIFICUS is a gram-negative bacterium that can cause serious illness and death in persons with preexisting liver disease or compromised immune systems. From 1981 through 1992, 125 persons with V. vulnificus infections, of whom 44 (35%) died, were reported to the Florida Department of Health and Rehabilitative Services (HRS). This report summarizes data on these cases and presents estimates of the at-risk population in Florida. The infections generally occurred each year from March through December and peaked from May through October. Seventy-two persons (58%) had primary septicemia, 35 (28%) had wound infections, and 18 (14%) had gastroenteritis. In patients with primary septicemia, 58 infections (81%) occurred among persons with a history of raw oyster consumption during the week before onset of illness. The mean age of these persons was 60 years (range:33-90 years; standard deviation: 12.9years); 51 (88%) were male. Fourteen (78%) of the patients with gastroenteritis also had raw oysterassociated illness. Their mean age was 49 years (range 19-89 years; standard deviation: 25.7 years); seven (50%) were male. References 1. The Food and Drug Administration (FDA) publishes brochures on seafood safely, including ones with special information for patients with liver diseases, immune disorders, gastrointestinal disorders, or diabetes mellitus. Free brochures are available to patients and their physicians from the FDA's 24-hour Seafood Safety Hotline, (800)332-4010 ([800]FDA-4010); in the Washington, D.C., area the number is (202)205-4314. 2. Desenclos JA, Klontz KC, Wolfe Le, Hoercherl S. The risk of Vbrio illness in the Florida raw oyster eating population, 1981-1988 . Am J Epidemiol 1991;143-290-7. 3. Blake PA, Merson MH,Weaver RE, Hollis DG, Heublein PC. Disease caused by a marine vibrio: clinical charateristics and epidemiology . N Engl J Med 1979;300:1-4.Crossref 4. Levine WC, Griffin PM, the Gulf Coast Vibrio Working Group. Vibrio infections on the Gulf Coast: the results of a first year of regional surveillance . J Infect Dis 1993;167:479-83 5. Tacket CO, Brenner F, Blake PA. Clinical features and an epidemiological study of Vibrio vulnificus infections . J Infect Dis 1984;149:558-61.Crossref 6. Johnston JM, Becker SF, McFarland LM. Vibrio vulnificus: man and the sea . JAMA 1985;253: 2850-3.Crossref 7. Johnson AR, Anderson CR, Rodrick GE. A survey to determine the awareness of hazards related to raw seafood ingestion in at risk patient groups . In: Proceedings of the 13th annual conference of the Tropical and Subtropical Fisheries Technology Society of the Americas . Gulf Shores, Alabama: Tropical and Subtropical Fisheries Technology Society of the Americas, (October) 1988.

Journal

Archives of Dermatology – American Medical Association

Published: Aug 1, 1993

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