Vibrio vulnificus necrotizing fasciitis of the calf presenting with compartment syndrome.
We describe a 17-year-old boy with congenital spherocytosis and iron overload who presented with compartment syndrome of the calf as the initial manifestation of Vibrio vulnificus infection after minor trauma in a contaminated fish pond. The disease was complicated by necrotizing fasciitis requiring above the knee amputation. Childhood diseases associated with iron overload pose an increased risk for complicated V. vulnificus infections.
Miron
Dan
D
Pediatric Infectious Disease Consultation Service, HaEmek Medical Center, Afula, Israel.
Lev
Ami
A
Colodner
Raul
R
Merzel
Yoseph
Y
D000293:Adolescent; D000671:Amputation, Surgical / Q000379:methods; D000818:Animals; D000868:Anterior Compartment Syndrome / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D019115:Fasciitis, Necrotizing / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D019190:Iron Overload / Q000150:complications / Q000151:congenital; D035002:Lower Extremity; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D013103:Spherocytosis, Hereditary / Q000150:complications / Q000175:diagnosis; D016896:Treatment Outcome; D014735:Vibrio Infections / Q000175:diagnosis* / Q000628:therapy; D041261:Vibrio vulnificus / Q000302:isolation & purification*