A case of Vibrio vulnificus detected in the blood of a sanitation workers and successfully cured
- Author:
XU Limei
;
XU Xiaoli
- Publication Type:Case Reports
- Keywords:
Vibrio vulnificus;
infection;
necrotizing fasciitis;
sepsis;
surgery
- From:
China Tropical Medicine
2024;24(3):349-
- CountryChina
- Language:Chinese
-
Abstract:
A confirmed case of blood flow infection caused by Vibrio vulnificus at Fenyang Hospital in Shanxi Province is reported to provide a reference for the diagnosis and treatment of Vibrio vulnificus infection. The patient is a male sanitation worker who accidentally scratched his right forearm while working and was admitted to the hospital due to swelling and pain in his right forearm accompanied by fever. The patient had recently resided in the local area, and had no history of working outside, or recent exposure to seawater or raw seafood. On the morning of the second day of admission, all four blood culture bottles tested positive. The positive blood culture bottle broth was directly smeared and transferred to a blood plate or a hemophilic chocolate plate. Under the microscope, it was Gram-negative bacilli, and the bacteria body was curved and rod-shaped. In the afternoon (about 7 hours of cultivation), the bacteria membrane was identified as Vibrio vulnificus by matrix-assisted laser desorption ionization-time of flight mass spectrometer (MALDI-TOF MS). Sepsis caused by Vibrio vulnificus has a high mortality rate, and it can also cause necrotizing fasciitis. With the cooperation of multiple disciplines, the patient improved and was discharged. Through this case, Vibrio vulnificus infection should be included in the differential diagnosis for patients with fever, redness, swelling, and pain in the limbs (with a history of trauma). The patient's prognosis can be improved with the timely finding of the pathogenic bacteria through blood culture and other techniques, early surgical intervention and establishment of an MDT (multidisciplinary joint) team.
- Full text:202504281652450424920.A case of Vibrio vulnificus detected in the blood of a sanitation workers and successfully cured.pdf
