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Infección por Vibrio vulnificus causada por una herida punzante en la mano de mariscos: un informe de caso
Lin Zhao1, Peiting Lin1, Tianyi Liu2
1Department of Plastic Surgery, Gansu Provincial Hospital, Lanzhou, Gansu, China.
Frontiers in medicine
|February 11, 2026
Resumen
La infección por Vibrio vulnificus, aunque rara en áreas no costeras, requiere un diagnóstico y tratamiento rápidos. La intervención temprana con antibióticos y fasciotomía puede prevenir resultados graves como la pérdida de extremidades.
Área de la Ciencia:
- Enfermedades infecciosas Enfermedades infecciosas.
- Estudio de caso clínico.
- Salud Pública La salud pública.
Sus antecedentes:
- Las infecciones por Vibrio vulnificus se presentan con progresión rápida y alta mortalidad.
- El diagnóstico erróneo es común en regiones con baja incidencia, retrasando el tratamiento crítico.
- La intervención inmediata es crucial para el manejo de las infecciones graves por Vibrio vulnificus.
Objetivo del estudio:
- Para reportar un caso de infección por Vibrio vulnificus en una zona no costera de China.
- Para resaltar la importancia de un diagnóstico inicial preciso y una gestión oportuna.
- Para enfatizar la eficacia de la terapia combinada de antibióticos y la intervención quirúrgica.
Principales métodos:
- Un hombre de 42 años presentó síntomas después de una lesión en la mano mientras manipulaba mariscos.
- Las manifestaciones clínicas y el historial médico guiaron el diagnóstico inicial.
- La terapia de combinación empírica de antibióticos y la fasciotomía se administraron con prontitud.
Principales resultados:
- El paciente desarrolló síntomas severos locales y sistémicos indicativos de una infección por Vibrio vulnificus.
- La administración temprana de antibióticos y la fasciotomía detuvo la progresión de la enfermedad.
- La mano derecha y el antebrazo del paciente se conservaron con éxito.
Conclusiones:
- La infección por Vibrio vulnificus puede ocurrir incluso en áreas no endémicas.
- Un diagnóstico clínico preciso y un tratamiento rápido y agresivo son vitales para obtener resultados favorables.
- Este caso subraya la importancia de considerar el Vibrio vulnificus en pacientes con antecedentes de exposición relevantes y infecciones graves de los tejidos blandos.
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