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Fatal case of necrotising fasciitis due to Vibrio vulnificus in a patient with alcoholic liver disease and diabetes mellitus
  1. Prasanna Bhat1,
  2. Maanasa Bhaskar1,
  3. Sujatha Sistla1 and
  4. Tamilarasu Kadhiravan2
  1. 1 Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
  2. 2 Internal Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
  1. Correspondence to Dr Sujatha Sistla, sujathasistla{at}


Vibrio vulnificus is a halophilic Vibrio found globally. They are thought to be normal microbiome in the estuaries along the coasts associated with seawater and seashells. Infection usually results from consumption of raw oysters or shellfish or exposure of broken skin or open wounds to contaminated salt or brackish water. Clinical manifestations range from gastroenteritis to skin and subcutaneous infection and primary sepsis. Pathogen has the ability to cause infections with significant mortality in high-risk populations, including patients with chronic liver disease, immunodeficiency, diabetes mellitus and iron storage disorders. There is often a lack of clinical suspicion in cases due to Vibrio vulnificus leading to delay in treatment and subsequent mortality. Herein we report a case of necrotising fasciitis in a diabetic patient with alcoholic liver disease caused by Vibrio vulnificus which ended fatally.

  • alcoholic liver disease
  • tropical medicine (infectious disease)
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  • Contributors PB: preparation of manuscript, laboratory workup. MB: preparation of the manuscript. SS: critical revision of the manuscript and final approval. TK: treating physician and critical revision of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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