Answer: Vibrio Cellulitis
Figure 1. Left arm depicting severe necrotizing cellulitis with multiple tense bullae.
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Figure 2. Left hand and arm depicting the abrasion responsible for the Vibrio infection and multiple tense bullae.
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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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