[Severe sepsis with organ failure in necrotizing fasciitis of the right leg caused by infection with Vibrio vulnificus].
Vibrio vulnificus is a human pathogen which can cause the septicemia and necrosis of the soft tissue, especially fasciitis. The occurrence is most common in the summer, the source of infection can be sea water or the sand on the beaches, however the infection after eating seafood was described as well. The patient with predominant liver dysfunction are more often affected. The clinical course is characterized by severe sepsis, and massive skin lesion. The mortality more than 60% is reported. This case report describes the course of disease in 64 year old patient, who has spent his vacation in Bulgaria. After return he was admitted with severe sepsis with multiorgan failure and despite the intensive therapy and high amputation of the limb which was performed, the patient died.
Vecer
J
J
Interní klinika FN Motol, Praha.
Kubátová
H
H
Hanek
P
P
Esnerová
A
A
Klazarová
H
H
Lochmann
D019115:Fasciitis, Necrotizing / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000382:microbiology*; D018805:Sepsis / Q000382:microbiology*; D014735:Vibrio Infections / Q000175:diagnosis; D041261:Vibrio vulnificus