Severe Sepsis
with Organ Failure in Necrotizing Fasciitis of the Right Leg Caused by Infection with Vibrio
Vulnificus
Večeř J., Kubátová H., Hanek P. 1 , Ešnerová A. 2 , Klazarová H. 2 , Lochmann 2
Interní klinika FN Motol, Praha, přednosta doc. MUDr. M. Kvapil, CSc. 1 III. Chirurgická klinika FN Motol, Praha, přednosta prof. MUDr. P. Pafko, DrSc. 2 Ústav lékařské mikrobiologie 2. LF UK a FN Motol, Praha, přednosta doc. MUDr. O. Lochman, CSc. |
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Summary:
Vibrio vulnificus is a human pathogen which can cause the septicemia and necrosis of the soft
tissue, especially fasciitis. The occurrence is most common in the summer, the source of infection
can be sea water or the sand on the beaches, however the infection after eating seafood was
described as well. The patient with predominant liver dysfunction are more often affected. The
clinical course is characterized by severe sepsis, and massive skin lesion. The mortality more than
60 % is reported.
This case report describes the course of disease in 64 year old patient, who has spent his vacation
in Bulgaria. After return he was admitted with severe sepsis with multiorgan failure and despite
the intensive therapy and high amputation of the limb which was performed, the patient died.
Key words:
Vibrio vulnificus - Necrotising fasciitis - Sepsis
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