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Updated: Jul 5, 2026

Development of a More Sensitive and Specific Chromogenic Agar Medium for the Detection of Vibrio parahaemolyticus and Other Vibrio Species
Published on: November 8, 2016
Lower extremity infections by vibrio vulnificus
G Mouzopoulos1, M Stamatakos, M Tzurbakis
1Department of Evangelismos Hospital, Athens, Greece.
Vibrio vulnificus infections can lead to severe limb necrosis and sepsis, often requiring amputation. Early suspicion and prompt treatment are crucial for managing this serious Gram-negative pathogen.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- Vibrio vulnificus is a Gram-negative pathogen found in marine environments.
- It causes local infections in healthy individuals and severe septicemia in those with liver disease.
Purpose of the Study:
- To present four complicated cases of Vibrio vulnificus infection.
- To highlight the severe outcomes and management challenges associated with these infections.
Main Methods:
- Retrospective review of clinical and laboratory records.
- Follow-up of four patients with complicated Vibrio vulnificus infections over a mean of 4.2 years.
Main Results:
- Three patients required urgent leg amputation due to extensive necrosis and septic complications.
- One patient developed calcaneus osteomyelitis three years after the initial injury, despite soft tissue excision.
Conclusions:
- High clinical suspicion is essential for diagnosing Vibrio necrotizing fasciitis, particularly in endemic areas.
- Prophylactic antibiotics for swimmers in endemic regions may be considered to prevent infection.
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