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Atypical manifestation of Vibrio vulnificus septicaemia
  1. L-W Lin1,
  2. S-W Hung1,
  3. C-S Lin2,
  4. C-L Liu1,
  5. C-F Chong1
  1. 1Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
  2. 2School of Medicine, Fu Jen Catholic University, Taipei, Taiwan
  1. 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

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.

  • cirrhosis
  • purpura
  • septicaemia
  • Vibrio vulnificus

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Footnotes

  • Competing interests: none declared

  • Written consent from the patient’s legal guardian was obtained for publication of these images in print and online.

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