Fulminant necrotising fasciitis caused by Vibrio parahaemolyticus.
We report a patient with septicaemia and fulminant necrotising fasciitis caused by Vibrio parahaemolyticus. This organism is strongly associated with seawater exposure and seafood ingestion. The patient recovered due to expedient management, prompt recognition of the organism, appropriate antimicrobial cover and surgical debridement. The lesson to be learned is that this organism should be clinically suspected and recognised from its typical history of injury and fulminant clinical progress as a delay in diagnosis and treatment may result in an increased risk of mortality.
Lim
T K
TK
Department of Medicine, National University Hospital, Singapore.
Stebbings
A E
AE
D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology; D003386:Brachyura / Q000382:microbiology; D002442:Ceftazidime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D003646:Debridement; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000382:microbiology*; D006801:Humans; D008297:Male; D012623:Seawater / Q000382:microbiology; D014735:Vibrio Infections / Q000175:diagnosis*; D014736:Vibrio parahaemolyticus
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D002442:Ceftazidime; D004318:Doxycycline