Last reviewed: November 2017
Last updated: March  2017

Summary

Definition

History and exam

Key diagnostic factors

  • leg pain
  • cellulitis
  • diarrhea
  • abdominal cramps
  • ear pain
  • eye pain, redness

Other diagnostic factors

  • fever
  • altered mental status
  • nausea
  • vomiting
  • hypotension

Risk factors

  • exposure to brackish or marine waters
  • handling and/or cleaning seafood
  • ingestion of raw or undercooked shellfish
  • underlying hepatic disease (cirrhosis, hepatitis B or C, hemochromatosis)
  • current corticosteroid use or other immunosuppression (HIV, chemotherapy, solid organ transplantation)

Diagnostic investigations

1st investigations to order

  • CBC
  • platelet count
  • basic metabolic panel
  • blood culture
  • wound swab for Gram stain
  • wound swab for culture
  • stool culture
  • ear canal swab for culture
  • conjunctival swab, corneal scraping, or chamber aspirates for culture
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Michael Sands

Professor of Medicine

College of Medicine

University of Florida

Jacksonville

FL

Disclosures

MS declares that he has no competing interests.

Carmen Isache

Assistant Professor of Medicine

College of Medicine

University of Florida

Jacksonville

FL

Disclosures

CI declares that she has no competing interests.

Peer reviewers VIEW ALL

Assistant Professor of Medicine

Division of Infectious Diseases

University of Vermont College of Medicine

Burlington

VT

Disclosures

CH declares that he has no competing interests.

Professor of Clinical Microbiology

Austrian Agency for Health and Food Safety (AGES)

Vienna

Austria

Disclosures

FA declares that he has no competing interests.

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