Journal
EMERGING INFECTIOUS DISEASES
Volume 14, Issue 12, Pages 1875-1882Publisher
CENTERS DISEASE CONTROL & PREVENTION
DOI: 10.3201/eid1412.080499
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During 1996-1997, a new Vibrio vulnificus biotype 3, which caused severe soft tissue infection after fishbone injury, emerged in Israel. We conducted a follow-up study from 1998 through 2005 to assess changing trends, outcomes, and molecular relatedness of the implicated strains. A total of 132 cases (71% confirmed and 29% suspected) of V vulnificus biotype 3 infection were found. Most infections (95%) were related to percutaneous fish exposure, mainly tilapia (83%) or common carp (13%). Bacteremia, altered immune status, and history of ischemic heart disease were identified as independent risk factors for death, which reached a prevalence of 7.6%. Pulsed-field gel electrophoresis patterns of strains from 1998 through 2005 and from 1996 through 1997 showed a high degree of homogeneity and were distinct from those of V vulnificus biotype 1. Infections caused by V vulnificus biotype 3 continue to affect the public's health in Israel.
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