title: [Vibrio vulnificus: an infrequent cause of septic shock].
abstract: Vibrio vulnificus is a lactose positive Gram negative rod that lives in warm seas and can infect wounds and produce sepsis. Its infection is acquired after eating oysters or other filtering marine organisms. We report a 53 years old diabetic male who started with fever after a voyage to Central America. He was admitted febrile, hypotense, dehydrated and polypneic. Painful erythematous lesions and lumps were observed in his upper and lower limbs. After 72 hours of evolution, the lesions became violaceous, with crepitating vesicles full of hemorrhagic exudate. He developed a renal failure and a disseminated intravascular coagulation. Blood cultures demonstrated the presence of Vibrio vulnificus and the patient died 68 hours after admission.
authors.affiliation: Unidad de Tratamiento Intensivo Médico, Hospital Clínico Universidad Católica de Chile, Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Poblete
authors.forename: Max
authors.initials: M
authors.lastname: Andresen
authors.forename: Carlos
authors.initials: C
authors.lastname: Pérez
authors.forename: Alberto
authors.initials: A
authors.lastname: Dougnac
authors.forename: Orlando
authors.initials: O
authors.lastname: Díaz
authors.forename: Vinko
authors.initials: V
authors.lastname: Tomicic
mesh_terms: D000818:Animals; D016470:Bacteremia / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D010125:Ostreidae / Q000382:microbiology; D012772:Shock, Septic / Q000209:etiology*; D014733:Vibrio / Q000302:isolation & purification; D014735:Vibrio Infections / Q000150:complications*