Overview
Vibriosis encompasses infections caused by marine bacteria, primarily Vibrio species, including Vibrio vulnificus, which can lead to severe systemic infections and cholera 1.Diagnosis
Suspect vibriosis in patients with chronic underlying diseases, recent raw seafood ingestion, and characteristic skin lesions 2.
Clinical presentation may include diffuse pulmonary infiltrates in cases of septicemia 2.
Laboratory tests should include blood cultures to identify Vibrio species 2.
Imaging studies like chest X-rays may reveal pulmonary infiltrates in severe cases 2.Management
First-line treatment typically involves empiric broad-spectrum antibiotics such as third-generation cephalosporins or fluoroquinolones pending culture results 2.
Specific antibiotic choices may need adjustment based on susceptibility testing results 2.
Supportive care is crucial, including fluid resuscitation and management of organ dysfunction 2.
Monitoring for and addressing complications like sepsis and respiratory failure is essential 2.Special Populations
No specific details provided regarding management in pregnancy, pediatrics, elderly, or patients with comorbidities 12.Key Recommendations
Suspect vibriosis in patients with predisposing conditions, recent raw seafood exposure, and characteristic clinical features (Evidence: Expert opinion 2).
Initiate empiric broad-spectrum antibiotic therapy pending culture results for suspected Vibrio septicemia (Evidence: Expert opinion 2).
Closely monitor for and manage complications such as pulmonary infiltrates and sepsis in affected patients (Evidence: Expert opinion 2).References
1 Marques PH, Rodrigues TCV, Santos EH, Bleicher L, Aburjaile FF, Martins FS et al.. Design of a multi-epitope vaccine (vme-VAC/MST-1) against cholera and vibriosis based on reverse vaccinology and immunoinformatics approaches. Journal of biomolecular structure & dynamics 2025. link
2 Cunningham LW, Promisloff RA, Cichelli AV. Pulmonary infiltrates associated with Vibrio vulnificus septicemia. The Journal of the American Osteopathic Association 1991. link