[MARINE_BIOLOGY_INTERNATIONAL] VIBRIO VULNIFICUS, FATAL - CHINA (03): (HONG KONG)

 

VIBRIO VULNIFICUS, FATAL - CHINA (03): (HONG KONG)
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Date: Fri 5 Oct 2012
Source: 7th Space, Hong Kong (SAR) Government report [edited] <http://7thspace.com/headlines/423099/fatal_case_of_vibrio_vulnificus_infection_under_investigation.html>

The Centre for Health Protection (CHP) of the Department of Health is investigating a fatal case of _Vibrio vulnificus_ infection involving an 80 year old man with chronic illness. The man developed fever and symptoms of vomiting, neck pain, and right facial swelling on 30 Sep 2012. He was admitted to Tuen Mun Hospital the following day and was noted as having facial bruises and swelling around his right eye. His condition later deteriorated and he passed away on 2 Oct 2012. His blood specimen taken during admission cultured positive for _Vibrio vulnificus_. The CHP's investigation revealed that the man was injured by a crab on 30 Sep 2012.

The public is reminded to adopt the following measures to prevent _V.
vulnificus_ infection:
- avoid exposure of open wounds or broken skin to seawater or salty water;
- wounds should be thoroughly cleaned and properly covered;
- wear thick rubber gloves when handling raw shellfish;
- cook seafood, especially shellfish (such as oysters, clams, and
mussels) thoroughly; and
- for shellfish, boil until the shells open and avoid cross-contamination of ready-to-eat food with raw seafood.

Patients should seek medical advice promptly if they develop symptoms and signs of infection such as increasing redness, pain, and swelling.

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[A discussion of the disease in humans can be found in ProMED-mail posting "Vibrio vulnificus, salt water exposure - USA (TX) 20070719.2317." There are 2 points to be emphasized: that vibrios are normal flora in warm saltwater (not indicative of any sewage
contamination) and that most of the life-threatening illnesses occur in individuals with underlying medical illnesses, including immunocompromised states, chronic liver disease, and diabetes.
So-called normal individuals often just get gastroenteritis. The range of disease due to _V. vulnificus_ can involve more northern geographical areas if the area is affected by a substantial heat wave.
- Mod.LL

A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/r/1s3->.]

[see also:
Vibrio vulnificus - USA: (FL) fatal 20120816.1247707 Vibrio vulnificus, fatal - China (02): (HK) 20120623.1178668 Vibrio vulnificus, fatal - China: (HK) 20120531.1150595 Necrotizing fasciitis - USA: (HI), Vibrio vulnificus suspected 20120317.1072640
2011
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Vibrio vulnificus, fatal - Taiwan: (TW) raw oyster 20110914.2804
2009
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Vibrio vulnificus - USA: Gulf oyster ban planned 20091030.3756 Necrotizing fasciitis, fatal - Canada: (MB) 20090118.0222
2007
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Vibrio vulnificus, salt water exposure - USA (LA) 20070724.2376 Vibrio vulnificus, salt water exposure - USA (TX) 20070719.2317 Vibrio vulnificus, shellfish - USA (FL) 20070427.1376 Vibrio vulnificus, 2000-2005 - Australia (NT) 20070302.0742
2006
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Vibrio vulnificus, oysters - USA (GA) 20060930.2805 Vibrio vulnificus - Germany (Mecklenburg-Vorpommern) 20060819.2319 Vibrio vulnificus - USA: RI 20060805.2173
2005
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Vibrio vulnificus, post-hurricane - USA (04): Additional Vibrio species 20050915.2723 Vibrio vulnificus, post-hurricane - USA 20050906.2642 Vibrio vulnificus, salt water exposure - USA (MD) 20050905.2622
2004
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Vibrio vulnificus, oysters - USA (FL) 20041120.3117 Vibrio vulnificus - USA (TX) 20040816.2274
2003
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Vibrio vulnificus, fatal - Israel (03) 20031230.3173 Vibrio vulnificus, fatal - Israel 20031229.3159] .................................................ll/mj/sh
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