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KMID : 1190620130090010034
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Journal of the Korean Wound Care Society
2013 Volume.9 No. 1 p.34 ~ p.37
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Treatment of Necrotizing Fasciitis Caused by Vibrio Vulnificus: A Case Report
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Moon Ye-Seul
Lim So-Young
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Abstract
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Vibrio vulnificus infection can lead to development of necrotising fasciitis, which is a soft-tissue infection with a high risk of fatality. Necrotising fasciitis occurs mostly in immunocompromised patients with diseases such as hepatic disease, diabetes mellitus, or thalassaemia. The bacterium is frequently found in oysters, crustaceans, and shellfish. It is known that three main clinical manifestations, wound infection, primary septicemia, and gastroenteritis are usual; the other conditions, such as pneumonia, osteomyelitis, meningitis, or infections of unknown origin are less frequent. Necrotising fasciitis is a surgical emergency. Early and aggressive debridement or amputation is essential for survival. Antibiotic treatment without adequate surgical debridement is ineffective. A case report of the successful wound healing with aggressive surgical debridement, amputation and skin graft is described.
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KEYWORD
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V. vulnificus, Necrotizing fasciitis
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