Necrotizing fasciitis due to Vibrio parahaemolyticus.
A report of a fatal case of necrotizing fasciitis of the leg due to Vibrio parahaemolyticus infection. This organism frequently causes minor infections in seawater-exposed wounds. In this case the patient died due to fulminant sepsis caused by necrotizing fasciitis, despite surgical debridement. This case serves as a reminder for targeted antibiotic coverage for Vibrio in any serious saltwater-related infection, and as an illustration of the rapid and severe systemic toxicity associated with Vibrio parahaemolyticus necrotizing fasciitis, even in the setting of minor initial skin findings.
Payinda
Gary
G
Department of Emergency Medicine, Whangarei Base Hospital, PO Box 742, Woodhill, Whangarei, New Zealand. gpayinda@gmail.com
D000368:Aged; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D009520:New Zealand; D014735:Vibrio Infections / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014736:Vibrio parahaemolyticus