Occurrence of a Vibrio vulnificus Infection in Niigata in 2003
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概要
- 論文の詳細を見る
A Vibrio vulnificus infection occurred in Niigata in 2003. The patient was a 76-year-old male who had a medical history of diabetes, and was a heavy consumer of alcohol. He did not eat raw fish or shellfish before development of the symptoms, and the source of infection was unknown. The patient reported a disturbance in consciousness, and mild swelling of the lower leg was observed. The same V. vulnificus strains, as evidenced by pulsed-field gel electrophoresis, were isolated from venous blood and puncture fluid of the lower leg. White blood cells and platelets were decreased. The patient was treated with imipenem, but succumbed. The V. vulnificus strains were highly susceptible to the 3rd-generation cephems, carbapenems, tetracyclines, and fluoroquinolones. With respect to the tetracyclines and macrolides, the strains were most susceptible to minocycline and azithromycin, respectively. The strains were moderately resistant to the 1st- and the 2nd- generation cephems, kanamycin, streptomycin, roxithromycin, and fosfomycin. The V. vulnificus strains possessed a strong ability to adhere to and impair HCT-8 cells. In contrast to V. cholerae O1 or O139 and V. parahaemolyticus, the V. vulnificus strains had capsule-like wrinkles on the bacterial cell surface and occasionally exhibited a spiral-shaped body. These may be a cause, at least in part, of the invasive nature of the bacteria and fulminant development of the symptoms. Establishment of a rapid diagnosis is imperative.
- 新潟大学の論文
著者
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YAMAMOTO Tatsuo
Division of Bacteriology, Niigata University Graduate School of Medical and Dental Sciences
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Yukiko Tamura
Department Of Bacteriology Niigata University School Of Medicine
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Yamamoto Tatsuo
Niigata Univ. Graduate School Of Medical And Dental Sci. Niigata Jpn
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NAKAYAMA Teruko
Division of Bacteriology, Department of Infectious Disease Control and International Medicine
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IWAKURA Nobuhiro
Division of Bacteriology, Department of Infectious Disease Control and International Medicine, Gradu
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NAKAGAWA Saori
Division of Bacteriology, Department of Infectious Disease Control and International Medicine, Gradu
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TANEIKE Ikue
Division of Bacteriology, Department of Infectious Disease Control and International Medicine, Gradu
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SHIBUYA Michiko
Department of Dermatology, Niigata University Graduate School of Medical and Dental Sciences.
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ITO Ryo
Emergency and Critical Care Medical Center, Niigata City General Hospital.
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TAKIZAWA Yoko
Division of Bacteriology, Department of Infectious Disease Control and International Medicine, Niiga
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ANNO Masato
Division of Bacteriology, Department of Infectious Disease Control and International Medicine, Niiga
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YAGI Yutaka
Division of Bacteriology, Department of Infectious Disease Control and International Medicine, Niiga
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NYUZUKI Satoru
Division of Bacteriology, Department of Infectious Disease Control and International Medicine.
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Yamamoto Tatsuo
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine Niigata
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Ito Ryo
Emergency And Critical Care Medical Center Niigata City General Hospital.
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Yamamoto T
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine
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Yagi Yutaka
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine Niigata
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Anno Masato
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine Niigata
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Taneike I
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine Graduat
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Takizawa Yoko
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine Niigata
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Nakagawa S
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine Graduat
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Nakagawa Saori
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine Niigata
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Shibuya Michiko
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine:divisio
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Shibuya Michiko
Department Of Dermatology Nagaoka Red Cross Hospital
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Takashi Nakayama
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine
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Iwakura Nobuhiro
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine
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Yamamoto T
Division Of Bacteriology Department Of Infectious Disease Control And International Medicine Niigata
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