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- CLINICA NEUROL, 45: 18－21, 2005
- Vol.45 No.1 contents
Case Report
A patient with Vibrio vulnificus meningoencephalitis
Tatsuya Sato, M.D.1)2), Yuichiro Inatomi, M.D.1), Toshiro Yonehara, M.D.1), Shodo Fujioka, M.D.1), Yoichiro Hashimoto, M.D.3), Teruyuki Hirano, M.D.4) and Makoto Uchino, M.D.4)
1)Stroke Center, Saiseikai Kumamoto Hospital
2)Department of Neurology, Showa University School of Medicine
3)Department of Neurology, Kumamoto City Hospital
4)Department of Neurology, Graduate School of Medical Sciences, Kumamoto University
A 76-year-old man with liver cirrhosis and diabetes mellitus was admitted to our hospital because of bacterial meningoencephalitis. He had eaten raw fish 2 days before onset. He also developed septic shock, disseminated intravascular coagulation, adult respiratory distress syndrome and panophthalmitis of the right eye. Vibrio vulnificus was isolated from the blood culture. Extensive therapy including antibiotics and nafamostat methylate, resulted in full recovery except for right blindness. The necrotizing fasciitis, which is common with Vibrio vulnificus infection, had not been complicated in this patient.
(CLINICA NEUROL, 45: 18－21, 2005)
key words: vibriosis, meningitis, encephalitis, ophthalmitis
(Received: 16-Jan-04)
