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[Vibrio vulnificus sepsis].

Sven Krengel1, Kristiane Kuhnt-Lenz, Sebastian Fetscher

  • 1Klinik für Dermatologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck. svenkrengel@gmx.net

Journal Der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
|November 16, 2005
PubMed
Summary
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A rare Vibrio vulnificus septicaemia case occurred in Europe. The infection, likely from Baltic Sea water, caused severe skin lesions in a lymphoma patient.

Area of Science:

  • Infectious Diseases
  • Dermatology
  • Microbiology

Background:

  • Malignant lymphoma patients are immunocompromised, increasing susceptibility to severe infections.
  • Vibrio vulnificus is a marine bacterium known for causing severe wound and bloodstream infections.

Observation:

  • A 59-year-old female with a history of malignant lymphoma presented with septicaemia.
  • Clinical manifestations included bullous, necrotizing skin plaques on the extremities.
  • Blood cultures identified Vibrio vulnificus as the etiological agent.

Findings:

  • The patient's infection was likely acquired through ingestion of contaminated seawater while swimming in the Baltic Sea.
  • This case highlights the potential for Vibrio vulnificus infections in European waters, particularly during warmer periods.

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  • The clinical and histological presentation was consistent with severe Vibrio vulnificus infection.

    • Implications:

    • This case underscores the importance of recognizing Vibrio vulnificus infections, even in non-endemic regions like Europe.
    • Awareness of risk factors, such as swimming in warm coastal waters and underlying health conditions, is crucial for early diagnosis and treatment.
    • Further surveillance and public health advisories may be warranted in areas with increasing sea temperatures.