Fulminant necrotizing fasciitis due to Vibrio parahaemolyticus.
Necrotizing soft-tissue infection due to Vibrio parahaemolyticus is unusual. We report a case of necrotizing fasciitis due to V. parahaemolyticus in a 92-year-old woman with a history of chronic renal failure, diabetes mellitus and malnutrition. Clinical evolution was fulminant and the patient died 6 h after admission. A review of all cases previously reported showed that the infection occurred in patients with underlying diseases through ingestion of raw oysters or inoculation via traumatic injury in marine environments. The mortality rate of all reviewed cases was 42.8 %. In conclusion, V. parahaemolyticus should be considered a possible causative agent of necrotizing fasciitis, especially in patients with underlying disease. Early diagnosis and prompt aggressive debridement associated with antibiotic therapy are essential in order to save the patient's life, because clinical evolution can be fulminant and mortality rates are high.
Tena
Daniel
D
Section of Microbiology, University Hospital of Guadalajara, Guadalajara, Spain.
Arias
Marta
M
Section of Microbiology, University Hospital of Guadalajara, Guadalajara, Spain.
Álvarez
Bárbara Teresa
BT
Service of Geriatrics, University Hospital of Guadalajara, Guadalajara, Spain.
Mauleón
Coro
C
Service of Geriatrics, University Hospital of Guadalajara, Guadalajara, Spain.
Jiménez
Mari Paz
MP
Service of Geriatrics, University Hospital of Guadalajara, Guadalajara, Spain.
Bisquert
Julia
J
Section of Microbiology, University Hospital of Guadalajara, Guadalajara, Spain.
D000369:Aged, 80 and over; D019115:Fasciitis, Necrotizing / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D014735:Vibrio Infections / Q000382:microbiology*; D014736:Vibrio parahaemolyticus / Q000302:isolation & purification*