A Case of Vibrio alginolyticus Infection Caused by Puncture with the Dorsal Fin of a Horse Mackerel

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  • 鯵の背鰭を刺し発症した <i>Vibrio alginolyticus</i> による創感染症の 1 例
  • 症例 鯵の背鰭を刺し発症したVibrio alginolyticusによる創感染症の1例
  • ショウレイ アジ ノ セビレ オ サシ ハッショウ シタ Vibrio alginolyticus ニ ヨル ソウカンセンショウ ノ 1レイ

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Abstract

A 63-year-old man, currently treated for diabetes mellitus, accidently punctured his right thumb with the dorsal fin of a horse mackerel during a fishing trip in Tsushima Offing, Nagasaki Prefecture, Japan, in early July, 2012. The patient visited our clinic after the wound had developed a painful blood blister. Besides diabetes, he presented in good general condition. The serous bloody liquid aspirated from the blister was cultured on blood agar at 37C°, where it developed swarming grayish colonies containing peroxidase test-positive Gram-negative rods. The bacteria grew in 3%, 7%, and 10% saline media and presented yellow colonies on a TCBS medium. The microorganism was identified as Vibrio alginolyticus by a Viteck II analyzer with 99% reliability, so we concluded that the lesion was a case of V. alginolyticus infection and prescribed a treatment with 200 mg minocycline for five days, at the end of which the skin lesion had improved. In Japanese dermatologic literature, no reports were found of V. alginolyticus infection through wounding. International papers have described cases of necrotizing fasciitis that had developed from wound infections. Therefore, we consider it necessaryto identify the pathogen and take into account the possibility of further complications in compromised hosts presenting with infected wounds.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 75 (5), 429-431, 2013

    Western Division of Japanese Dermatological Association

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