TY - JOUR T1 - Fatal case of necrotising fasciitis due to <em>Vibrio vulnificus</em> in a patient with alcoholic liver disease and diabetes mellitus JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-227851 VL - 12 IS - 1 SP - bcr-2018-227851 AU - Prasanna Bhat AU - Maanasa Bhaskar AU - Sujatha Sistla AU - Tamilarasu Kadhiravan Y1 - 2019/01/01 UR - http://casereports.bmj.com/content/12/1/bcr-2018-227851.abstract N2 - 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. ER -