Vibrio - Private Practice Infectious Disease

A 75-year-old woman with PMH hypertension, diabetes, hyperlipidemia, and GERD presents with four days of abdominal pain, fevers, chills, vomiting, and diarrhea after eating raw crab 48 hours prior. Blood cultures grow out gram negative rods. What is the diagnosis?

a. Enteropathogenic E. Coli

b. Haemophilus influenza

c. Vibrio cholerae non-O1/non-0139 strain

d. Pseudomonas aeruginosa

None

Non-01/non 0139 V. cholerae strains that cause septicemia/bacteremia are unencapsulated.

a. TRUE

b. FALSE

None

Clinical manifestations of non-01/non-139 V. Cholerae include:

a. Asymptomatic colonization

b. Gastroenteritis with abdominal pain, diarrhea, fever, vomiting

c. Wound infections

d. Sepsis

e. All of the above

None

Which of the following is FALSE regarding Vibrio vulnificus?

a. Vibrio vulnificus is a gram-negative rod that is found in salt water and brackish water

b. Vibrio vulnificus thrives in colder climates, particularly in winter months in settings where the temperature is < 20 degrees Celsius

c. Transmission of Vibrio vulnificus can occur through consumption of raw or undercooked seafood or via contact of an open wound with salt water, brackish water, or raw or undercooked seafood

d. Liver disease, including cirrhosis, chronic hepatitis, and hemochromatosis, is a risk factor for serious infection with Vibrio vulnificus

None

Which of the following has been associated with the virulence of V. vulnificus?

a. Production of anti-phagocytic polysaccharide capsule

b. Production of extracellular toxins

c. Iron

d. All of the above

None

Board Review: Vibrio

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