Vibrio vulnificus necrotizing fasciitis associated with acupuncture
Open accessAbstract
Necrotizing fasciitis is a severe life-threatening infection of the deep subcutaneous tissues and fascia. Infection with Vibrio vulnificus, a halophilic Gram-negative bacillus found worldwide in warm coastal waters, can lead to severe complications, particularly among patients with chronic liver diseases. We herein present an unusual case of necrotizing fasciitis caused by V. vulnificus triggered by acupuncture needle insertion. The patient, who suffered from diabetes mellitus and non-alcoholic fatty liver disease and worked at a fish hatchery, denied any injury prior to acupuncture. This is the first ever reported case of V. vulnificus infection triggered by acupuncture needle insertion, clearly emphasizing the potential hazards of the prolonged survival of V. vulnificus on the skin. The potential infectious complications of acupuncture needle insertion are discussed.
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Wound infection is generally acquired through exposure of a preexisting wound to contaminated seawater or shellfish, resulting in fulminant necrotizing skin and soft tissue infections.
“Wound infection is generally acquired through the exposure of a preexisting wound to contaminated seawater or shellfish, resulting in fulminant necrotizing skin and soft tissue infections (Huang et al., 2016;Kotton, Soboh, & Bisharat, 2015).”
From <i>Vibrio vulnificus</i>in aquariums is a novel threat to marine mammals and public health (2018) · cites this paper as Kotton, Soboh, & Bisharat, 2015
The Introduction says wound infections follow injury before or during exposure to seawater or marine animals, and that necrotizing fasciitis can be a rapidly progressive complication. The claim narrows the injury to a preexisting wound and implies that wound infection results in necrotizing infection, whereas the source says necrotizing fasciitis can occur. (LLM, conf=0.84)
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Cites
Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007
Barnes, P. M., Bloom, B. E., & Nahin, R. L. (2008) · PsycEXTRA Dataset · doi:10.1037/e623942009-001 · Cited by 3,131 · see citing works
<i>Vibrio vulnificus</i>: Disease and Pathogenesis
Jones, M. K., & Oliver, J. D. (2009) · Infection and Immunity · doi:10.1128/iai.01046-08 · Cited by 720 · see citing works
The Epidemiology of Vibrio Infections in Florida, 1981-1993
Hlady, W. G., & Klontz, K. C. (1996) · The Journal of Infectious Diseases · doi:10.1093/infdis/173.5.1176 · Cited by 483 · see citing works
The role of seafood in bacterialfoodborne diseases
Feldhusen, F. (2000) · Microbes and Infection · doi:10.1016/s1286-4579(00)01321-6 · Cited by 397 · see citing works
White, A. (2004) · Acupuncture in Medicine · doi:10.1136/aim.22.3.122 · Cited by 388 · see citing works
Ocean Warming and Spread of Pathogenic Vibrios in the Aquatic Environment
Vezzulli, L., Colwell, R. R., & Pruzzo, C. (2013) · Microbial Ecology · doi:10.1007/s00248-012-0163-2 · Cited by 342 · see citing works
Bisharat, N., Agmon, V., Finkelstein, R., Raz, R., Ben-Dror, G., Lerner, L. V., Soboh, S., Colodner, R., Cameron, D. N., Wykstra, D. L., et al. (1999) · The Lancet · doi:10.1016/s0140-6736(99)02471-x · Cited by 318 · see citing works
Self-citationBaker-Austin, C., Stockley, L., Rangdale, R., & Martínez-Urtaza, J. (2010) · Environmental Microbiology Reports · doi:10.1111/j.1758-2229.2009.00096.x · Cited by 301 · see citing works
Adverse Events of Acupuncture: A Systematic Review of Case Reports
Xu, S., Wang, L., Cooper, E., Zhang, M., Manheimer, E. W., Berman, B., Shen, X., & Lao, L. (2013) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2013/581203 · Cited by 232 · see citing works
Chuang, Y., Yuan, C.-Y., Liu, C., Lan, C.-K., & Huang, A. H.-M. (1992) · Clinical Infectious Diseases · doi:10.1093/clinids/15.2.271 · Cited by 225 · see citing works
Is acupuncture safe? A systematic review of case reports.
Lao, L., Hamilton, G. R., Fu, J., & Berman, B. (2003) · PubMed · Cited by 191 · see citing works
Shaw, K. S., Goldstein, R. E. R., He, X., Jacobs, J. M., Crump, B. C., & Sapkota, A. R. (2014) · PLoS ONE · doi:10.1371/journal.pone.0089616 · Cited by 172 · see citing works
Vibrio vulnificus infection: clinical manifestations, pathogenesis, and antimicrobial therapy.
Chiang, & Chuang, Y.-C. (2003) · PubMed · Cited by 152 · see citing works
Climate change and the emergence of Vibrio vulnificus disease in Israel
Paz, S., Bisharat, N., Paz, E., Kidar, O., & Cohen, D. (2006) · Environmental Research · doi:10.1016/j.envres.2006.07.002 · Cited by 151 · see citing works
Self-citationHsueh, P., Lin, C.-Y., Tang, H.-J., Lee, H.-C., Liu, J.-W., Liu, Y.-C., & Chuang, Y.-C. (2004) · Emerging Infectious Diseases · doi:10.3201/eid1008.040047 · Cited by 132 · see citing works
Impact of timing of surgery on outcome of Vibrio vulnificus-related necrotizing fasciitis.
Chao, W.-N., Tsai, C.-F., Chang, H.-R., Chan, K.-S., Su, C.-H., Lee, Y.-T., Ueng, K.-C., Chen, C.-C., Chen, S.-C., & Lee, M.-C. (2013) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2012.08.008 · Cited by 117 · see citing works
Prognostic Factors and Antibiotics in Vibrio vulnificus Septicemia
Liu, J.-W., Lee, I., Tang, H.-J., Ko, W., Lee, H., Liu, Y., Hsueh, P., & Chuang, Y.-C. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.19.2117 · Cited by 111 · see citing works
Haq, S. M., & Dayal, H. H. (2005) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2005.40814.x · Cited by 97 · see citing works
Tsai, Y.-H., Hsu, R. W., Huang, T., Hsu, W., Huang, K., Li, Y., & Peng, K. (2007) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.f.00580 · Cited by 97 · see citing works
Laboratory Indicators for Early Detection and Surgical Treatment of Vibrio Necrotizing Fasciitis
Tsai, Y.-H., Hsu, R. W., Huang, K., & Huang, T. (2010) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-010-1311-y · Cited by 79 · see citing works
Antibiotic Therapy for Vibrio vulnificus Infection
Morris, J. G. (1985) · JAMA · doi:10.1001/jama.1985.03350320041011 · Cited by 74 · see citing works
Systemic Vibrio Infection Presenting as Necrotizing Fasciitis and Sepsis: A Series of Thirteen Cases
Tsai, Y.-H., Hsu, R. W., Huang, K., Chen, C., Cheng, C.-C., Peng, K., & Huang, T. (2004) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-200411000-00021 · Cited by 74 · see citing works
Kuo, Y.-L., Shieh, S., Chiu, H., & Lee, J.-W. (2007) · European Journal of Clinical Microbiology and Infectious Diseases · doi:10.1007/s10096-007-0358-5 · Cited by 73 · see citing works
Antibiotic efficacy against Vibrio vulnificus in the mouse: superiority of tetracycline.
Bowdre, J. H., Hull, J. H., & Cocchetto, D. M. (1983) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(25)33634-7 · Cited by 72 · see citing works
Normanno, G., Parisi, A., Addante, N., Quaglia, N. C., Dambrosio, A., Montagna, C., & Chiocco, D. (2005) · International Journal of Food Microbiology · doi:10.1016/j.ijfoodmicro.2005.05.020 · Cited by 71 · see citing works
Cantet, F., Hervio‐Heath, D., Caro, A., Mennec, C. L., Monteil, C. L., Quéméré, C., Jolivet‐Gougeon, A., Colwell, R. R., & Monfort, P. (2013) · Research in Microbiology · doi:10.1016/j.resmic.2013.06.005 · Cited by 69 · see citing works
In vitro synergism between cefotaxime and minocycline against Vibrio vulnificus
Chuang, Y.-C., Liu, J. W., Ko, W., Lin, K.-T., Wu, J.-J., & Huang, K.-Y. (1997) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.41.10.2214 · Cited by 67 · see citing works
Minocycline and Cefotaxime in the Treatment of Experimental Murine Vibrio vulnificus Infection
Chuang, Y.-C., Ko, W., Wang, S., Liu, J.-W., Kuo, C.-F., Wu, J.-J., & Huang, K.-Y. (1998) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.42.6.1319 · Cited by 67 · see citing works
Tsai, Y.-H., Huang, T., Hsu, R. W., Weng, Y.-J., Hsu, W., Huang, K., & Peng, K. (2009) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0b013e31816a9ed3 · Cited by 64 · see citing works
Cañigral, I., Moreno, Y., Alonso, J. L., González, A., & Ferrús, M. A. (2010) · Microbiological Research · doi:10.1016/j.micres.2009.11.012 · Cited by 60 · see citing works
Comparison of Necrotizing Fasciitis and Sepsis Caused by Vibrio vulnificus and Staphylococcus aureus
Tsai, Y.-H., Hsu, R. W., Huang, K., & Huang, T. (2011) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.i.01679 · Cited by 52 · see citing works
Chen, S.-C., Lee, Y.-T., Tsai, S.-J., Chan, K., Chao, W.-N., Wang, P.-H., Lin, D., Chen, C.-C., & Lee, M.-C. (2012) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkr476 · Cited by 49 · see citing works
Clinical Characteristics and Molecular Subtyping ofVibrio vulnificusIllnesses, Israel
Zaidenstein, R., Sadik, C., Lerner, L., Valinsky, L., Kopelowitz, J., Yishai, R., Agmon, V., Parsons, M., Bopp, C. A., & Weinberger, M. (2008) · Emerging infectious diseases · doi:10.3201/eid1412.080499 · Cited by 49 · see citing works
Lee, Y., Hor, L., Chiu, H., Lee, J.-W., & Shieh, S.-J. (2014) · European Journal of Clinical Microbiology & Infectious Diseases · doi:10.1007/s10096-013-2039-x · Cited by 48 · see citing works
Chao, W., Tsai, S.-J., Tsai, C., Su, C.-H., Chan, K., Lee, Y., Ueng, K., Lin, D., Chen, C., & Chen, S. (2012) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0b013e318270d761 · Cited by 41 · see citing works
Chen, S., Chan, K., Chao, W., Wang, P.-H., Lin, D., Ueng, K., Kuo, S.-H., Chen, C., & Lee, M. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181eeda2c · Cited by 37 · see citing works
Saw, A., Kwan, M. K., & Sengupta, S. (2004) · PubMed · Cited by 37 · see citing works
Clinical features of Vibrio vulnificus infections in the coastal areas of the Ariake Sea, Japan
Matsumoto, K., Ohshige, K., Tomita, Y., Mitsumizo, S., Nakashima, M., Oishi, H., Ohshige, K., Fujita, N., Tomita, Y., Mitsumizo, S., et al. (2010) · Journal of Infection and Chemotherapy · doi:10.1007/s10156-010-0050-z · Cited by 35 · see citing works
Unusual Portal of Entry of Vibrio vulnificus: Evidence of Its Prolonged Survival on the Skin
Colodner, R., Chazan, B., Kopelowitz, J., Keness, Y., & Raz, R. (2002) · Clinical Infectious Diseases · doi:10.1086/338871 · Cited by 25 · see citing works
Tsai, Y.-H., Hsu, J.-C., Shen, S.-H., Yang, T., Chen, P., & Huang, K. (2014) · Biomedical Journal · doi:10.4103/2319-4170.137767 · Cited by 18 · see citing works
In vitro antimicrobial susceptibility ofVibrio vulnificus isolated in Taiwan
Hsueh, P., Chang, J. C., Chang, S., Ho, S. W., & Hsieh, W. C. (1995) · European Journal of Clinical Microbiology & Infectious Diseases · doi:10.1007/bf02111880 · Cited by 18 · see citing works
Necrotizing Fasciitis After Acupuncture in a Patient with Aplastic Anemia
Hsieh, R., Huang, C.-H., & Uen, W.-C. (2011) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2010.0617 · Cited by 15 · see citing works
Ghinsberg, R. C., Dror, R., & Nitzan, Y. (1999) · PubMed · Cited by 15 · see citing works
Arias, C. R., Olivares-Fuster, Ó., & Goris, J. (2010) · PubMed · doi:10.2436/20.1501.01.124 · Cited by 13 · see citing works
Necrotizing fasciitis associated with acupuncture: A case report
Macuha, F., Ahn, A. C., & Graham, R. (2010) · Journal of Hospital Medicine · doi:10.1002/jhm.674 · Cited by 12 · see citing works
Non-O1, Non-O139Vibrio choleraeSepticemia after Acupuncture
Lim, T. S., Ji, A.-Y., Lee, J.-H., Chang, S., Kim, I., Kim, Y. J., Kim, S. U., Kim, S. U., Park, J. Y., Ahn, S. H., et al. (2013) · Ewha Medical Journal · doi:10.12771/emj.2013.36.s.s22 · Cited by 5 · see citing works
Flagged first, then by citations
4 of the 50 references couldn’t be matched to a known paper.
Research works printed but not linked: 4
- [3]Oliver JD Vibrio vulnificus. Thompson FL Austin B Swings JG, eds. The biology of vibrios. Washington, D.C.: ASM Press; 2006 pp. 349- 366.
- [13]Lim TS Ji A Lee JH Chang S Non-O1, non-o139, Vibrio cholerae septicemia after acupuncture. Ewha Med J 2013; 36: S22- S4.
- [39]Zaidenstein R Sadik C Lerner L Clinical characteristics and molecular sub-typing of Vibrio vulnificus illnesses, Israel. Emerg Infect Dis 2008; 14: 1875- 82. 19046510 PMC2634625
- [48]Bisharat N Molecular and seroepidemiological studies to investigate the emergence of Vibrio vulnificus in Israel. Thesis Dissertation. Tel-Aviv University; 2009.
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Li, M., Zhao, L., Ma, J., Zhao, N., Luo, J., Wang, C., Chen, L., Ma, G., Wang, Y., & He, H. (2018) · Transboundary and Emerging Diseases · doi:10.1111/tbed.12967 · Cited by 24 · see citing works
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Vasagar, B., Jain, V., Germinario, A., Watson, H. J., Ouzts, M., Presutti, R. J., & Álvarez, S. (2018) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2018.05.010 · Cited by 14 · see citing works
Kim, T., Lee, M. S., Birch, S., Alræk, T., Norheim, A. J., & Kang, J. W. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e20577 · Cited by 11 · see citing works
“Kotton 2015 [82] Infection Vibrio Vulnificus Necrotizing Fasciitis Obesity, diabetes mellitus, hyperlipidemia, and non- alcoholic liver cirrhosis NR PA S”
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鍼治療を契機に発症したと考えられる壊死性軟部組織感染症の 2 例
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- Authors
- Kotton, Y., Soboh, S., & Bisharat, N.
- Affiliations
- Poriya Medical Center (IL)
- Technion – Israel Institute of Technology (IL)
- Corresponding author
- Bisharat, Naiel
- ORCID
- Bisharat, Naiel
- Venue
- Infectious Disease Reports
- Publisher
- MDPI AG
- Published
- 2015-09-29
- Volume
- 7
- Issue
- 3
- Pages
- 5901
- ISSN
- 2036-7430 (ISSN-L)
- 2036-7449
- PMC
- PMC4593884
- OpenAlex
- W1843763499
- Cited by
- 10
- References
- 50
- Citations by year
- 2025: 2 · 2023: 1 · 2021: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 1
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-nd
- creativecommons.org/licenses/by/4.0/ (vor)
- Locations
- Infectious Disease Reports (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Vibrio bacteria research studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Infections and bacterial resistance
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Keywords
- Vibrio vulnificus, necrotizing fasciitis, acupuncture, acupuncture needle insertion, non-alcoholic fatty liver disease, diabetes mellitus, occupational exposure, skin colonization
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