Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- dor nas pernas
- celulite
- diarreia
- cólicas abdominais
- dor de ouvido
- dor ocular, vermelhidão
Outros fatores diagnósticos
- febre
- estado mental alterado
- náuseas
- vômitos
- hipotensão
Fatores de risco
- exposição a águas salobras ou marinhas
- manuseio e/ou limpeza de frutos do mar
- ingestão de frutos do mar crus ou malcozidos
- doença hepática subjacente (cirrose, hepatite B ou C, hemocromatose)
- na vigência de uso de corticosteroide ou outra imunossupressão (vírus da imunodeficiência humana [HIV], quimioterapia, transplante de órgão sólido)
Diagnostic investigations
1st investigations to order
- hemograma completo
- contagem plaquetária
- perfil metabólico básico
- lactato sanguíneo
- hemocultura
- swab da ferida para coloração de Gram
- swab da ferida para cultura
- coprocultura
- swab do meato acústico externo para cultura
- swab conjuntival, raspagem córnea ou aspirados da câmera para cultura
- exame diagnóstico independente de cultura (CIDT)
Treatment algorithm
sepse ou infecção sistêmica grave
infecção cutânea/de tecidos moles localizada isolada
gastroenterite
infecções superficiais por inoculação
Contributors
Authors
Michael Sands, MD, MPH & TM, FIDSA
Professor of Medicine
College of Medicine
University of Florida
Jacksonville
FL
Disclosures
MS declares that he has no competing interests.
Carmen Isache, MD
Associate Professor of Medicine
College of Medicine
University of Florida
Jacksonville
FL
Disclosures
CI declares that she has no competing interests.
Peer reviewers
Larry Bush, MD, FACP, FIDSA
Affiliated Professor of Medicine
Charles E. Schmidt College of Medicine
Florida Atlantic University
Affiliated Associate Professor of Medicine
Department of Medical Education
University of Miami-Miller School of Medicine
FL
Disclosures
LB 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.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Dechet AM, Yu PA, Koram N, et al. Nonfoodborne Vibrio infections: an important cause of morbidity and mortality in the United States, 1997-2006. Clin Infect Dis. 2008;46:970-6. Abstract
California Department of Public Health. CDPH IDB guidance for managing select communicable diseases: non-cholera Vibrio infections. Jun 2023 [internet publication].Full text
Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock 2021. Crit Care Med. 2021 Nov 1;49(11):e1063-143.Full text Abstract
Centers for Disease Control and Prevention. Vibrio species causing vibriosis. Information for health professionals and laboratorians. Aug 2023 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Sepse
- Gangrena
- Diarreia infecciosa
More DifferentialsGuidelines
- Non-cholera Vibrio infections
- Vibrio species causing vibriosis: information for health professionals & laboratorians
More GuidelinesPatient information
Úlceras da perna
Diarreia em crianças
More Patient information
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