A patient goes for a holiday at a sea resort. He consumes a lot of alcohol and uncooked food. All the food was washed in the local water. Within 24 hours he develops diarrhea with nausea and abdominal cramping. What is the most likely cause?
Select Your Answer:
Vibrio parahaemolyticus is often contracted by eating raw shellfish. V. parahaemolyticus lives in brackish saltwater and is related to V. cholerae.
V. parahaemolyticus is found in the U.S. coastal waters and is more common in the summer.
After ingestion, symptoms of nausea, vomiting, cramping, fever, and chills have onset within 24 hours.
Disease is self-limited in most cases, lasting 3 days. Patients with immunocompromise can develop more severe illness.
Adult Lab Normals
Pediatric Lab Normals
Enterotoxigenicity of Vibrio parahaemolyticus with and without genes encoding thermostable direct hemolysin., Nishibuchi M,Fasano A,Russell RG,Kaper JB,, Infection and immunity, 1992 Sep [PubMed PMID: 1500161]
Crayfish: a newly recognized vehicle for vibrio infections., Bean NH,Maloney EK,Potter ME,Korazemo P,Ray B,Taylor JP,Seigler S,Snowden J,, Epidemiology and infection, 1998 Oct [PubMed PMID: 9825776]
Analysis of the thermostable direct hemolysin (tdh) gene and the tdh-related hemolysin (trh) genes in urease-positive strains of Vibrio parahaemolyticus isolated on the West Coast of the United States., Okuda J,Ishibashi M,Abbott SL,Janda JM,Nishibuchi M,, Journal of clinical microbiology, 1997 Aug [PubMed PMID: 9230364]
Seasonal distribution of total and pathogenic Vibrio parahaemolyticus in Chesapeake Bay oysters and waters., Parveen S,Hettiarachchi KA,Bowers JC,Jones JL,Tamplin ML,McKay R,Beatty W,Brohawn K,Dasilva LV,Depaola A,, International journal of food microbiology, 2008 Dec 10 [PubMed PMID: 18963158]
Outbreak of Vibrio parahaemolyticus gastroenteritis associated with Alaskan oysters., McLaughlin JB,DePaola A,Bopp CA,Martinek KA,Napolilli NP,Allison CG,Murray SL,Thompson EC,Bird MM,Middaugh JP,, The New England journal of medicine, 2005 Oct 6 [PubMed PMID: 16207848]
Vibrio parahaemolyticus infections in the United States, 1973-1998., Daniels NA,MacKinnon L,Bishop R,Altekruse S,Ray B,Hammond RM,Thompson S,Wilson S,Bean NH,Griffin PM,Slutsker L,, The Journal of infectious diseases, 2000 May [PubMed PMID: 10823766]
Nonfoodborne Vibrio infections: an important cause of morbidity and mortality in the United States, 1997-2006., Dechet AM,Yu PA,Koram N,Painter J,, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2008 Apr 1 [PubMed PMID: 18444811]
In vivo efficacy of the combination of ciprofloxacin and cefotaxime against Vibrio vulnificus sepsis., Jang HC,Choi SM,Kim HK,Kim SE,Kang SJ,Park KH,Ryu PY,Lee TH,Kim YR,Rhee JH,Jung SI,Choy HE,, PloS one, 2014 [PubMed PMID: 24978586]
Antibiotic therapy for necrotizing fasciitis caused by Vibrio vulnificus: retrospective analysis of an 8 year period., Chen SC,Lee YT,Tsai SJ,Chan KS,Chao WN,Wang PH,Lin DB,Chen CC,Lee MC,, The Journal of antimicrobial chemotherapy, 2012 Feb [PubMed PMID: 22117030]
Enterotoxicity and cytotoxicity of Vibrio parahaemolyticus thermostable direct hemolysin in in vitro systems., Raimondi F,Kao JP,Fiorentini C,Fabbri A,Donelli G,Gasparini N,Rubino A,Fasano A,, Infection and immunity, 2000 Jun [PubMed PMID: 10816461]