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April 1983

Vibrio vulnificus Septicemia: Isolation of Organism From Stool and Demonstration of Antibodies by Indirect Immunofluorescence

Author Affiliations

From the Department of Medicine, Veterans Administration Medical Center and Emory University School of Medicine (Drs Pollak, Parrish, Dretler, and Morris); and the Enteric Bacteriology and Epidemiology Branch, Bacterial Diseases Division, Center for Infectious Diseases, Centers for Disease Control (Mr Barrett), Atlanta. Dr Morris is now with the University of Maryland School of Medicine, Baltimore.

Arch Intern Med. 1983;143(4):837-838. doi:10.1001/archinte.1983.00350040227040

Vibrio vulnificus was isolated from blood and stool cultures from a 65-year-old man who had underlying alcoholic liver disease. The patient had eaten raw oysters the day before he became ill. To our knowledge, this is the first published report of isolation of the organism from stool in a patient with primary septicemia, and it provides support for epidemiologic studies suggesting that the infection is acquired through the gastrointestinal tract by eating raw seafood containing the organism. It was also possible, in this case, to demonstrate the presence of high antibody titers to the blood isolate by indirect immunofluorescence but not by agglutinating or vibriocidal tests.

(Arch Intern Med 1983;143:837-838)

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