Bacteraemic necrotizing fasciitis with compartment syndrome caused by non-O1 Vibrio cholerae.

J Plast Reconstr Aesthet Surg

Department of Plastic and Reconstructive Surgery, Chia-Yi Christian Hospital, No. 539 Zhongxiao Road, Chiayi City 600, Taiwan.

Published: March 2007

AI Article Synopsis

  • Non-O1 Vibrio cholerae are gram-negative rods linked to gastroenteritis and serious infections, especially from raw seafood or contaminated water in summer.
  • The report outlines a rare case of bacteraemic necrotizing fasciitis in a patient with liver cirrhosis, who presented with compartment syndrome and acute renal failure.
  • After undergoing extensive treatments including surgery and antibiotic therapy, the patient was discharged in stable condition following successful treatment for the infection.

Article Abstract

Non-O1 Vibrio cholerae are gram-negative rods that can cause sporadic gastroenteritis, bacteraemia, and extraintestinal infections, primarily following the consumption of raw seafood or exposure of damaged skin to contaminated saltwater during the summer months. Bacteraemic necrotizing fasciitis caused by non-O1 V. cholerae has rarely been reported. Liver cirrhosis, haemochromatosis, and immunosuppression are important factors contributing to the severity of the infections and outcome. This report describes a case of liver cirrhosis in which right lower leg compartment syndrome and acute renal failure presented as the initial symptoms of bacteraemic necrotizing fasciitis. The organisms growing in the wound and blood cultures were identified as non-O1 V. cholerae. After antibiotic therapy, fasciotomy, right above-knee amputation, repeat debridement of the left lower leg and split-thickness skin grafts, the patient was eventually discharged in a stable condition.

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http://dx.doi.org/10.1016/j.bjps.2006.06.002DOI Listing

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