>ProMED Digest Monday, December 29 2003 Volume 2003 : Number 479
>
>
>Date: Mon, 29 Dec 2003 11:16:38 -0500 (EST)
>From: ProMED <promed@promed.isid.harvard.edu>
>Subject: PRO/AH/EDR> Vibrio vulnificus, fatal - Israel
>
>VIBRIO VULNIFICUS FATAL - ISRAEL
>********************************
>A ProMED-mail post
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>
>Date: Mon, 29 Dec 2003
>From: ProMED-mail <promed@promedmail.org>
>Source: Haaretz, 29 Dec 2003 [edited]
><http://www.haaretzdaily.com/hasen/pages/ShArt.jhtml?
>itemNo=376961&contrassID=1&subContrassID=7&sbSubContrassID=0&listSrc=Y>
>
>
>Woman dies from infection after contact with St. Peter's fish
>- -------------------------------------------------------------
>A woman about 60 years old died last Thursday as a result of a infection she
>apparently contracted as a result of contact with a fish carrying a rapid-
>spreading bacteria. The woman, a resident of Sderot, died at Barzilai
>Medical Center in Ashkelon.
>
>It is believed to be the first such case in Israel of a person who has died
>as a result of bacteria originating with fish.
>
>Israel Radio reported that the woman came to the hospital a few days ago with
>a wound to her hand. She was treated and sent home. After a few hours she
>returned because of swelling at the site of the wound. Doctors noticed that
>the infection had spread and amputated her hand in an effort to save her
>life.
>
>During the operation it became apparent that the infection originated in
>bacteria that grows in pools where St. Peter's fish [tilapia] are bred for
>sale. Although the woman was placed in intensive care, her immune system
>collapsed and she died on the operating table.
>
>[Byline: Ran Reznick]
>
>- --
>ProMED-mail
><promed@promedmail.org>
>
>[Reportedly, _Vibrio vulnificus_ has been laboratory-confirmed as the
>etiological agent of this case. This bacterium is the etiologic agent for
>severe human infection acquired through wounds or contaminated seafood.
>
>Opportunistic infection in susceptible individuals can result in death within
>24 to 48 hours of exposure. Implementation of proper diagnosis and
>therapeutic intervention at the very early phase of the infection are
>essential.
>
>The bacterium is halophilic [salt-loving], and is abundantly present in
>estuarine ecosystems throughout the world. Mortality from _V. vulnificus_
>infection has been reported in USA, Europe, Israel, Korea, Taiwan, and other
>countries.
>
>5 non-fatal cases in Israel have recently been described by Edward Calif,
>Basil Kaufman, and Shalom Stahl; see: Vibrio vulnificus infection of the
>lower limb after fish spine injuries; Clin Orthop. 2003 Jun;(411):274-9. -
>Mod. AS].
>
>[see also:
>2002
>- ----
>Vibrio vulnificus - South Korea: alert 20020514.4204
>Vibrio vulnificus - South Africa (Natal) 20020512.4179
>2001
>- ----
>Vibrio vulnificus - USA (California) 20010810.1886
>Vibrio vulnificus - South Korea (South Jeolla): alert 20010522.0993
>2000
>- ----
>Vibrio vulnificus - South Korea (South Cholla): alert 20000530.0865
>1999
>- ----
>Vibrio vulnificus: satellite teaching program 19990208.0176
>1998
>- ----
>Vibrio vulnificus - USA (Florida) 19980830.1744
>Vibrio vulnificus - USA (Louisiana & Mississippi) 19980615.1136
>Vibrio vulnificus infections, human - Sweden (04) 19980118.0145
>Vibrio vulnificus infections, human - Sweden (03) 19980110.0077
>Vibrio vulnificus infections, human - Sweden (02)] 19980108.0052
>..................arn/pg/jw
>
>------------------------------
>
>End of ProMED Digest V2003 #479
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-- Liz Brown Marine Advisory Program PO Box 1549 Dillingham, AK 99576 907-842-1265 Fax 907-842-3202
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