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Is It Safe to Swim Now, Doc?

Staff writer for safetyissues.com

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Is water polluted?

Having a bacterial infection is one thing, and we usually take it in stride. But being infected with flesh-eating bacteria is quite another thing, and, for having it, a man almost lost his stride.

A 58-year-old man on a fishing trip in Galveston County went swimming and caught something else instead. He was infected with a bacterium called Vibrio vulnificus. It was not an ordinary infection; it developed into a disease that began destroying tissues and would have cost him his leg, until doctors were able to intervene successfully. Left unchecked, the disease can be fatal.

The U.S. Centers for Disease Control and Prevention said the bacterium is cousin to the pathogen that causes cholera. It is a natural resident of saltwater areas and flourishes during warm summer months. Swimmers with open wounds allow entry of the bacteria, and those whose immune systems are weakened by disease (like cancer) are most vulnerable.

This bacterium also contaminates seafood and causes most seafood-related fatalities in the U.S. Those who eat raw shellfish at this time, especially oysters, are likely to get infected.

The man was a diabetic and he had an ulcer on his lower leg when he went swimming. The ulcer was still healing, and it became the entry point for the bacterium. From the open wound, it proceeded to infect the bloodstream. For a while, doctors thought they might have to amputate the leg, even as they performed three surgeries to remove the infected tissue.

The CDC says cases involving Vibrio vulnificus are rare, but when they occur most of them are in the Gulf Coast. Infected patients usually experience diarrhea and vomiting; once it’s in the bloodstream, it may cause fever and low blood pressure.

If you’re healthy, there should be no risk when you go swimming. But if you have chronic diseases like diabetes or liver disease, or have open wounds or ulcers, you shouldn’t get into the Gulf Coast waters. And do stay away from the shellfish.

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