Vibrio vulnificus foodborne illness is caused by Vibrio vulnificus, a bacterium that lives in warm seawater. The condition is rare.
Vibrio vulnificus foodborne illness occurs when you eat seafood infected with the bacteria or you have an open wound that is exposed to them. The bacteria are frequently found in oysters and other shellfish in warm coastal waters during the summer months. People who have weak immune systems, especially those with long-term (chronic) liver disease, are at greater risk for this condition than other people.
In healthy people, Vibrio vulnificus foodborne illness can cause vomiting, diarrhea, and abdominal (belly) pain. In people who have weak immune systems, the bacteria can infect the bloodstream, causing a severe and life-threatening illness. Symptoms include fever and chills, decreased blood pressure (septic shock), and blistering skin wounds. The infection is especially dangerous to people who have long-term (chronic) liver disease.
If an open wound is exposed to the bacteria (such as from warm seawater), sores may develop. People with weak immune systems are at risk for the bacteria moving into the bloodstream.
Vibrio vulnificus foodborne illness is diagnosed based on a medical history and a physical examination. Your doctor will ask you questions about your symptoms, foods you have recently eaten, and your work and home environments. If you have eaten raw seafood, especially oysters, your doctor may do a stool, wound, or blood culture.
You treat Vibrio vulnificus foodborne illness by managing complications until it passes. Dehydration caused by diarrhea and vomiting is the most common complication. In people who have weak immune systems, or in people who have severe symptoms, antibiotics may be used.
To prevent dehydration, take frequent sips of a rehydration drink (such as Pedialyte). Try to drink a cup of water or rehydration drink for each large, loose stool you have. Soda and fruit juices have too much sugar and not enough of the important electrolytes that are lost during diarrhea, and they should not be used to rehydrate.
Try to stay with your normal diet as much as possible. Eating your usual diet will help you to get enough nutrition. Doctors believe that eating a normal diet will also help you feel better faster. But try to avoid foods that are high in fat and sugar. Also avoid spicy foods, alcohol, and coffee for 2 days after all symptoms have disappeared.
The best way to prevent this type of foodborne illness is to not eat raw oysters or other raw shellfish and to cook all shellfish (oysters, clams, mussels) thoroughly.
Boil shucked oysters for at least 3 minutes or fry them in oil for at least 10 minutes at 191°C (375°F). For shellfish in the shell, either:
Do not eat those shellfish that do not open during cooking.
You should also:
|Primary Medical Reviewer||E. Gregory Thompson, MD - Internal Medicine|
|Primary Medical Reviewer||Anne C. Poinier, MD - Internal Medicine|
|Specialist Medical Reviewer||W. David Colby IV, MSc, MD, FRCPC - Infectious Disease|
|Last Revised||December 10, 2012|
Last Revised: December 10, 2012
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