Abstract
Aim. The aim of this report is to present the case of a 44-year-old male tourist from Belgium with type 1 diabetes who developed necrotizing fasciitis and sepsis caused by Vibrio vulnificus during his stay at the Bulgarian Black Sea Coast.
 Material and methods. Data was collected from the patient's examination records. V. vulnificus was isolated by culture on blood agar and identified with biochemical tests.
 Results. During the initial hospitalisation the patient left the clinic without leave and returned 24 hours later. He was surgically treated and supported with intensive care. However, the patient developed severe sepsis which resulted in fatal outcome.
 Conclusion. It is important to highlight the need for sufficient awareness among patients with diabetes and other serious chronic diseases of the potential threat posed by V. vulnificus infections.
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