Vibrio
Vibrio
Vibrio
Significance
Members of these four genera of organisms cause diarrheal diseases and other infections.
>Vibrio
• Associated with large epidemics and pandemics
>Aeromonas
• Diarrhea and wound infections
>Campylobacter
• May play a role in GBS (Guillain-Barré Syndrome)
>Helicobacter (Campylobacter-like)
• Causes ulcers and has been linked to gastric carcinoma
Epidemiology
Most V. cholerae epidemics occur in developing countries.
-Prevalent in Bengal region of India and Bangladesh
Cholera is not commonly reported in the United States.
-Most are considered “imported” cases.
Clinical Manifestations
Cholera is an acute diarrheal disease spread through contaminated water and mishandled
food.
-Rice-water stool (watery with flecks of mucus)
-Large loss of water and electrolytes (10-30 movements per day)
-Dehydration, hypovolemic shock (loss of fluid volume), and metabolic acidosis
• Can cause death rapidly if fluids are not restored
-Toxin causes diarrhea.
Cholera treatment
-Intravenous and oral fluid containing electrolytes
-Antibiotics to reduce organism
Vibrio parahaemolyticus
• Seafood usually source
• Causes gastroenteritis
• Requires sodium chloride for growth
• Sucrose negative on TCBS agar – green
colonies
• Oxidase-positive
• String test-positive
• 0129 resistant
Clinical manifestations
Develop after 24 to 48 hours after eating contaminated seafood
• Self-limiting watery diarrhea and cramping
• Sometimes vomiting
• Usually no fever. Extraintestinal wound, eye, ear infections, even pneumonia
Vibrio vulnificus
• Found in coastal waters & estuaries
• Causes septicemia & wound infections
• Associated with eating raw oysters
• People with liver problems are more susceptible to organism
• Gastroenteritis – vomiting & diarrhea
• Skin infection – due to trauma or exposure of already open skin to infected water
• Strict halophile
• Sucrose negative on TCBS
• Oxidase positive
• 0129 susceptible
• Lactose fermenter (LF) on MacConkey
• Salicin-positive
Vibrio alginolyticus
Rarely isolated
Least pathogenic
Mostly external sites
Eye, ear, wounds, or burns
Sailors or those in constant contact with seawater
AEROMONAS
Campylobacter