Vibrio vulnificus is a serious human pathogen, accounting for 95% of a
ll seafood-related deaths in the United States. During the winter mont
hs, when coastal water temperatures drop below 10 degrees C, investiga
tors have repeatedly reported their inability to isolate this estuarin
e bacterium from the environment. We now realize that this apparent 'd
ie-off' is actually due to entry of the cells into a 'viable but non-c
ulturable' state, a survival response to the low temperature stress. C
ells in this state appear dormant, and cannot be cultured in or on rou
tine bacteriological media, but are capable of returning to the active
ly metabolizing state when the environmental stress is removed. This r
eview describes this non-culturable state in V. vulnificus, and its ro
le in the ecology, physiology, and epidemiology of this pathogen.