title: Atypical manifestation of Vibrio vulnificus septicaemia.
abstract: Vibrio vulnificus is a Gram-negative marine bacterium that may cause local wound infection, gastroenteritis, or septicaemia. Fatal septicaemia usually presents with fever, shock, and large haemorrhagic bullae on the legs. This report is about a man who had severe V. vulnificus septicaemia but presented with atypical features of leg pain and diffuse purpuric skin lesions. V. vulnificus septicaemia should be suspected if the following are present: septic shock, leg pains associated with diffuse purpuric skin lesions, recent consumption of raw seafood, and a past medical history of liver cirrhosis.
authors.affiliation: Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
authors.forename: L-W
authors.initials: LW
authors.lastname: Lin
authors.forename: S-W
authors.initials: SW
authors.lastname: Hung
authors.forename: C-S
authors.initials: CS
authors.lastname: Lin
authors.forename: C-L
authors.initials: CL
authors.lastname: Liu
authors.forename: C-F
authors.initials: CF
authors.lastname: Chong
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000188:drug therapy / Q000382:microbiology; D017809:Fatal Outcome; D005334:Fever / Q000209:etiology; D006801:Humans; D007866:Leg; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D010146:Pain / Q000209:etiology; D012772:Shock, Septic / Q000188:drug therapy / Q000382:microbiology*; D017444:Skin Diseases, Papulosquamous / Q000382:microbiology*; D014735:Vibrio Infections / Q000150:complications / Q000175:diagnosis*; D041261:Vibrio vulnificus / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents