Steven L. Oscherwitz
Oscherwitz S.; Coelenterate Sting. Ann Intern Med. 1994;121:985-986. doi: 10.7326/0003-4819-121-12-199412150-00018
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Published: Ann Intern Med. 1994;121(12):985-986.
TO THE EDITOR:
Could there be other causes for the clinical problems noted in the patient in the report by Garcia and colleagues ? Although they report no blood culture results, it would seem that infection with Vibrio or other marine organisms might be possible. The ulcerations pictured in Garcia and colleagues' Figure 1 certainly appear similar to those I have seen in patients with V. vulnificus sepsis. Addition of dexamethasone to a regimen of antibiotics that does not cover Vibrio organisms raises the question of multiorgan failure as a result of disseminated bacterial infection from sea water. Previous dives in a similar environment with coelenterate exposure could have resulted in the patient's IgG titers.
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