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Primary Septicemia and Abdominal Compartment Syndrome From Vibrio parahaemolyticus Infection in a 40-Year-Old Patient With No Known Immunocompromise

Grochowsky, Jared MD*; Odom, Stephen R. MD; Akuthota, Praveen MD; Stead, Wendy MD§

Infectious Diseases in Clinical Practice: July 2014 - Volume 22 - Issue 4 - p e74–e76
doi: 10.1097/IPC.0b013e3182a4b476
Case Reports

Vibrio parahaemolyticus is a gram-negative bacterium that may be associated with the ingestion of seafood, presenting with gastroenteritis, wound infection, or septicemia. In this case, the report of a patient with septicemia and abdominal compartment syndrome, likely associated with V. parahaemolyticus infection, with no apparent compromise of the immune system is presented. Septicemia in the setting of Vibrio infection usually occurs in those with underlying liver disease or immune compromise. Abdominal compartment syndrome developed in this case, requiring surgical decompression. The prompt use of appropriate antibiotics, emergent surgical decompression to relieve the patient’s abdominal compartment syndrome, and aggressive supportive intensive care unit care were ultimately lifesaving interventions in this patient with overwhelming sepsis.

From the Departments of *Medicine, †Surgery, ‡Pulmonary and Critical Care, and §Infectious Disease, Beth Israel Deaconess Medical Center, Boston, MA.

Correspondence to: Jared Grochowsky, MD, Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2014 by Lippincott Williams & Wilkins.