Abstract
Cracking Crabs Leading to Vibrio Necrotizing Fasciitis in a Male with Undiagnosed Adrenal Insufficiency
Highlights
Vibrio vulnificus is a gram-negative bacterium predominant in marine environments
Necrotizing fasciitis caused by Vibrio vulnificus is a fatal systemic infection affecting mainly immunocompromised patients
Blood and wound cultures revealed anaerobic gram-negative bacilli, Vibrio vulnificus. His antibiotics were switched on Day 3 to cefepime hydrochloride 1 gram every 6 hours and doxycycline hyclate 100 mg for a 10-day course to treat for Vibrio vulnificus bacteremia and necrotizing fasciitis
Summary
Vibrio vulnificus is a gram-negative bacterium predominant in marine environments. It is known to cause wound infections, septicemia, and diarrhea [1]. Necrotizing fasciitis caused by Vibrio vulnificus is a fatal systemic infection affecting mainly immunocompromised patients. A high index of suspicion is required to start the treatment immediately, including resuscitation, systemic antibiotics, and surgical debridement. He was diagnosed with Vibrio vulnificus bacteremia and necrotizing fasciitis of the right arm.
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