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A Syndrome of Erythemia Multiforme, Hemolytic Anemia, and Hypotension

Nelson Zide, MD; Joseph Davis, MD; N. Joel Ehrenkranz, MD

Arch Intern Med. 1974;133(3):479-481.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Fatal Vibrio parahemolyticus septicemia has not been reported hitherto, although acute gastroenteritis caused by the organism is well known.¹ The facultative halophilic Vibrio plays a substantial role in the cause of summertime food poisoning outbreaks in Japan and recently has been implicated in outbreaks of acute gastroenteritis in the United States. The Vibrio has been recovered in offshore sea water, uncooked sea fish, and fresh and frozen shellfish in the United States, Japan, and Great Britain.^1-5

In addition to gastrointestinal symptoms occurring as a result of contaminated seafood ingestion, tissue invasion by V parahemolyticus has been observed in association with recreational exposure in fresh water or saltwater.⁶ In these cases, direct transdermal invasion is presumed. Roland described a case in a 40-year-old man two days after he went "clamming" in Narragansett Bay.⁷ The patient had generalized papular hemorrhagic rash, fever, vomiting, diarrhea, and profound hypotension; V . . . [Full Text PDF of this Article]

Author Affiliations
Miami, Fla

From the University of Miami School of Medicine and Dade County Medical Examiner's Office (Dr. Davis), Miami, Fla. Dr. Ehrenkranz is now with the Cedars of Lebanon Hospital, Miami.

Footnotes
Received for publication Dec 11,1972; accepted March 7, 1973.

Reprint requests to 1321 NW 14th St, PO Box 520793, Miami, FL 33152 (Dr. Ehrenkranz).

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