Non-cholera Vibrio infections

Last reviewed: 28 Apr 2022
Last updated: 23 Feb 2022

Summary

Definition

History and exam

Key diagnostic factors

  • leg pain
  • cellulitis
  • diarrhea
  • abdominal cramps
  • ear pain
  • eye pain, redness
More key diagnostic factors

Other diagnostic factors

  • fever
  • altered mental status
  • nausea
  • vomiting
  • hypotension
Other diagnostic factors

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)
More risk factors

Diagnostic investigations

1st investigations to order

  • complete blood count
  • platelet count
  • basic metabolic panel
  • blood lactate
  • 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
More 1st investigations to order

Treatment algorithm

ACUTE

sepsis or severe systemic infection

localized skin/soft-tissue infection alone

gastroenteritis

superficial inoculation infections

Contributors

Authors

Michael Sands, MD, MPH & TM, FIDSA
Michael Sands

Professor of Medicine

College of Medicine

University of Florida

Jacksonville

FL

Disclosures

MS declares that he has no competing interests.

Carmen Isache, MD
Carmen Isache

Associate Professor of Medicine

College of Medicine

University of Florida

Jacksonville

FL

Disclosures

CI declares that she has no competing interests.

Peer reviewers

Christopher Huston, MD

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.

Franz Allerberger, MD, MPH

Professor of Clinical Microbiology

Austrian Agency for Health and Food Safety (AGES)

Vienna

Austria

Disclosures

FA declares that he has no competing interests.

  • Non-cholera Vibrio infections images
  • Differentials

    • Sepsis
    • Gangrene
    • Infectious diarrhea
    More Differentials
  • Guidelines

    • Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021
    • Vibrio species causing vibriosis
    More Guidelines
  • Patient leaflets

    Diarrhea in adults

    Diarrhea in children

    More Patient leaflets
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