EMERGENCY CASEBOOK
Atypical manifestation of Vibrio vulnificus septicaemia
1 Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
2 School of Medicine, Fu Jen Catholic University, Taipei, Taiwan
Correspondence to:
Correspondence to:
Dr C-F Chong
School of Medicine, Fu Jen Catholic University, No.510 Chung-Cheng Road, Hsin-Chuang Hsih, Taipei Hsien, Taipei 24205, Taiwan; m002202{at}ms.skh.org.tw
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.
Keywords: cirrhosis; purpura; septicaemia; Vibrio vulnificus
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(2006). Emergency casebook. Emerg. Med. J.
23: 485-486
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