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CASE REPORT
Vibrio vulnificus infection and liver cirrhosis: a potentially lethal combination
  1. Salik Nazir1,
  2. Krysta Brown1,
  3. Ann Kyungwohn Shin2,
  4. Anthony A Donato1
  1. 1Reading Hospital & Medical Center, Reading, Pennsylvania, USA
  2. 2Department of Infectious Disease, Reading Hospital and Medical Center, Reading, Pennsylvania, USA
  1. Correspondence to Dr Salik Nazir, saliknazir133{at}gmail.com

Summary

We present a case of a 40-year-old man with decompensated alcoholic liver cirrhosis presenting with atraumatic cellulitis of one extremity and severe sepsis that rapidly progressed to compartment syndrome despite broad-spectrum antibiotics. Local cultures following debridement revealed Vibrio vulnificus, and subsequent history revealed consumption of raw oysters 48 h before presentation. Our case points out the unique susceptibility of those with cirrhosis and elevated iron saturation to Vibrio septicaemia, as well as the rapidity and severity of the disease progression.

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