Vibrio vulnificus Necrotizing Fasciitis in Upper Limbs and Septicemia Following Pinch Injury by Mud Crab: A Case Report.

Content Provider	Europe PMC
Author	Phitsamai, Asadarng Chueansuwan, Worawong Changpradub, Dhitiwat
Editor	Muacevic, Alexander Adler, John R
Copyright Year	2022
Abstract	Vibrio vulnificus necrotizing fasciitis is a rare emergency and has a high mortality rate condition occurring among patients with cirrhosis, iron overload states, chronic renal failure, malignancy, HIV, or immunosuppressive medications. Here, we report a case of nonfoodborne Vibrio infection caused by V. vulnificus presenting as bilateral necrotizing fasciitis on the hands and lower arms after a pinch injury by a mud crab in a 64-year-old man with hypertension presenting with acute fever, bilateral hand swelling, and pain. The patient was treated with emergency fasciotomy and intravenous antibiotics. The outcome of such cases depends on early diagnosis and appropriate surgical and medical management.
Journal	Cureus
Volume Number	14
DOI	10.7759/cureus.24393
PubMed Central reference number	PMC9126442
Issue Number	4
PubMed reference number	35619836
e-ISSN	21688184
Language	English
Publisher	Cureus
Publisher Date	2022-04-22
Publisher Place	Palo Alto (CA)
Access Restriction	Open
Subject Keyword	mud crab pinch injury necrotizing fasciitis septicemia vibrio vulnificus
Content Type	Text
Resource Type	Case study
Subject	Medicine