• Emerg Med J · Jun 2006

    Case Reports

    Atypical manifestation of Vibrio vulnificus septicaemia.

    • L-W Lin, S-W Hung, C-S Lin, C-L Liu, and C-F Chong.
    • Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
    • Emerg Med J. 2006 Jun 1; 23 (6): e39.

    AbstractVibrio vulnificus is a Gram-negative marine bacterium that may cause local wound infection, gastroenteritis, or septicaemia. Fatal septicaemia usually presents with fever, shock, and large haemorrhagic bullae on the legs. This report is about a man who had severe V. vulnificus septicaemia but presented with atypical features of leg pain and diffuse purpuric skin lesions. V. vulnificus septicaemia should be suspected if the following are present: septic shock, leg pains associated with diffuse purpuric skin lesions, recent consumption of raw seafood, and a past medical history of liver cirrhosis.

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