Necrotizing Fasciitis Secondary to Vibrio vulnificus

Akhondi, Hossein; Lopez, Adriana Garza

doi:10.14740/jmc2026e

Cited by 2 publications

(1 citation statement)

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“…Antibiotics alone without surgical intervention is usually ineffective due to the thrombosis of the blood vessels supplying the affected area. Mortality is said to be low in case of necrotising fasciitis if adequate debridement and fasciotomy has been performed early 3 28–32. In the present case, piperacillin-tazobactam, amikacin and vancomycin were administered empirically and surgical debridement was done the next day.…”

Section: Discussionmentioning

confidence: 82%

Fatal case of necrotising fasciitis due toVibrio vulnificusin a patient with alcoholic liver disease and diabetes mellitus

Bhat

Bhaskar

Sistla³

et al. 2019

BMJ Case Rep

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Vibrio vulnificus is a halophilic Vibrio found globally. They are thought to be normal microbiome in the estuaries along the coasts associated with seawater and seashells. Infection usually results from consumption of raw oysters or shellfish or exposure of broken skin or open wounds to contaminated salt or brackish water. Clinical manifestations range from gastroenteritis to skin and subcutaneous infection and primary sepsis. Pathogen has the ability to cause infections with significant mortality in high-risk populations, including patients with chronic liver disease, immunodeficiency, diabetes mellitus and iron storage disorders. There is often a lack of clinical suspicion in cases due to Vibrio vulnificus leading to delay in treatment and subsequent mortality. Herein we report a case of necrotising fasciitis in a diabetic patient with alcoholic liver disease caused by Vibrio vulnificus which ended fatally.

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Section: Discussionmentioning

confidence: 82%