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  Vol. 140 No. 2, February 2005 TABLE OF CONTENTS
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Image of the Month—Diagnosis


Arch Surg. 2005;140:210.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: Vibrio Cellulitis

Figure 1. Left arm depicting severe necrotizing cellulitis with multiple tense bullae.


 
Figure appears in full text version.
Figure 1.


Figure 2. Left hand and arm depicting the abrasion responsible for the Vibrio infection and multiple tense bullae.


 
Figure appears in full text version.
Figure 2.


The patient was given intravenous antibiotics, including doxycycline and ceftazidime, for suspected Vibrio or Aeromonas necrotizing fasciitis; then he was taken to the operating room for emergency surgery. Severe cellulitis was present, but the fascia was normal. After the patient received intravenous antibiotics, the cellulitis gradually improved, and his wound was closed on postoperative day 8. No growth was obtained from the specimens cultured during his operation.

Vibrio (usually V vulnificus or V parahemolyticus) is a gram-negative marine bacillus that is found in coastal and brackish waters and can be concentrated in animals that feed by filtration, such as oysters, clams, and scallops.1 It can cause gastroenteritis or septicemia after the consumption of . . . [Full Text of this Article]

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