Vibrio Vulnificus: New Perspectives of a Strange Skin Infection
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Abstract
A cA couple celebrating their anniversary in the Dominican Republic encountered a severe infection. The husband suffered from cutaneous symptoms like early erythema, sudden cellulitis, necrosis, severe sepsis, and amputation of the arm. The wife suffered from gastrointestinal symptoms such as nausea and vomiting, without skin involvement. The man sustained a finger injury during a SPA session and later swam in a swimming pool; then he punctured his skin while eating oysters at a restaurant going to an exacerbation of the symptoms.
Culture identified Vibrio vulnificus as the cause of the infection, exceptionally attributed to contact with freshwater.
Vibrio vulnificus is a highly virulent bacterium that causes severe gastrointestinal, wound, and septicemic infection in individuals with predisposing conditions. Mortality rate is very high, and early diagnosis and therapies are necessary. Vibrio vulnificus lives in seafood, liver, and seawater.
The case report could represent the first case of contamination in freshwater.
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Haftel A, Marietta M, Sharman T. Vibrio vulnificus Infection. 2025 Dec 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. Available from: https://pubmed.ncbi.nlm.nih.gov/32119291/
Strom MS, Paranjpye RN. Epidemiology and pathogenesis of Vibrio vulnificus. Microbes Infect. 2000;2(2):177-88. Available from: https://doi.org/10.1016/s1286-4579(00)00270-7
Horseman MA, Surani S. A comprehensive review of Vibrio vulnificus: an important cause of severe sepsis and skin and soft-tissue infection. Int J Infect Dis. 2011;15(3):e157-66. Available from: https://doi.org/10.1016/j.ijid.2010.11.003
Heng SP, Letchumanan V, Deng CY, Ab Mutalib NS, Khan TM, Chuah LH, et al. Vibrio vulnificus: An Environmental and Clinical Burden. Front Microbiol. 2017;8:997. Available from: https://doi.org/10.3389/fmicb.2017.00997
Vibrio vulnificus infection. UpToDate [Internet]. 2024. Available from: https://www.uptodate.com/contents/vibrio-vulnificus-infection
Farmer JJ 3rd. Vibrio (“Beneckea”) vulnificus, the bacterium associated with sepsis, septicaemia, and the sea. Lancet. 1979;2(8148):903. Available from: https://doi.org/10.1016/s0140-6736(79)92715-6
Bowdre JH, Poole MD, Oliver JD. Edema and hemoconcentration in mice experimentally infected with Vibrio vulnificus. Infect Immun. 1981;32(3):1193-9. Available from: https://doi.org/10.1128/iai.32.3.1193-1199.1981
Chung PH, Chuang SK, Tsang T, Wai-man L, Yung R, Lo J. Cutaneous injury and Vibrio vulnificus infection. Emerg Infect Dis. 2006;12(8):1302-3. Available from: https://doi.org/10.3201/eid1208.051495
Vibrio vulnificus Expert - Information and Epidemiology. EHA Group [Internet]. Available from: https://www.ehagroup.com/resources/pathogens/vibrio-vulnificus-expert/
Cutruzzolà A, Parise M, Cozza P, Moraru S, Gnasso A, Irace C. Elevated blood flow in people with type 1 and type 2 diabetes. Diabetes Res Clin Pract. 2024;208:111110. Available from: https://doi.org/10.1016/j.diabres.2024.111110