Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.

内陸地津山で発症した季節外れのVibrio vulnificus感染症

萩谷 英大 津山中央病院 救命救急センター
塩田 澄子 就実大学薬学部 病原微生物学
三好 伸一 岡山大学大学院医歯薬学総合研究科 衛生微生物化学
黒江 泰利 津山中央病院 救命救急センター
野島 宏悦 津山中央病院 救命救急センター
大谷 晋吉 津山中央病院 救命救急センター
杉山 淳一 津山中央病院 救命救急センター
内藤 宏道 津山中央病院 救命救急センター
川西 進 津山中央病院 救命救急センター
萩岡 信吾 津山中央病院 救命救急センター
森本 直樹 津山中央病院 救命救急センター
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 A 68-year-old man with alcohol addiction, who lived in the suburbs of Tsuyama, an inland city located in northeast Okayama prefecture, was transported to the emergency unit of the Tsuyama Central Hospital in a state of cardiopulmonary arrest (CPA). Despite rigorous systemic investigation and treatment, the patient died 2 hours after arrival. After his death, Vibrio vulnificus was isolated from his blood culture.  Vibrio vulnificus causes fatal infection in humans, usually only in areas located close to the sea where appropriate temperature and suitable salt concentration for its growth are available. Therefore, its occurrence is epidemiologically restricted ; in Japan, the western coastal areas, especially in summers, are reported to be the high-risk regions. This is a rare case because it occurred in a city approximately 50 kilometers from both the Sea of Japan and the Pacific coast of Okayama, and at the end of October in 2011. Economic development and distribution systems have made it possible to transport various food products from coastal areas or abroad to any place in a short time, such that these infections can potentially develop in areas other than expected. We should be aware of the increasing risk of Vibrio vulnificus infection during any season and at any place, especially in patients with abnormal liver function.
Vibrio vulnificus
症例報告(Case Report)