Evidence map›Paper›PMID 41782852›Full record

ArticleInfection and drug resistance2026

Vibrio Vulnificus-Induced Septic Shock Complicated by Necrotizing Fasciitis: A Case Report and Review of Clinical Characteristics.

Bojiang Wang, Shuzheng Liu, Peixun Zhang

Abstract readCase Reports
In one paragraph

Article in Infection and drug resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Bojiang WangQingdao Medical College, Qingdao University, Qingdao, Shandong, People's Republic of China.
Shuzheng LiuDepartment of Trauma and Orthopedics, Peking University People's Hospital, Qingdao; Women and Children's Hospital, Qingdao University, Qingdao, Shandong, People's Republic of China.
Peixun ZhangDepartment of Trauma and Orthopedics, Peking University People's Hospital, Qingdao; Women and Children's Hospital, Qingdao University, Qingdao, Shandong, People's Republic of China.ORCID 0000-0001-7200-2281

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vibrio vulnificus is a halophilic marine bacterium capable of causing rapidly progressive septic shock and necrotizing fasciitis, particularly in immunocompromised individuals. Mortality rates remain high due to the fulminant nature of the infection and diagnostic challenges. Case Presentation: A 70-year-old female with poorly controlled type 2 diabetes presented with fever and septic shock 48 hours after ingesting raw seafood. The clinical course was characterized by rapid deterioration, severe coagulopathy, and the development of extensive necrotizing fasciitis in the right upper limb. Vibrio vulnificus infection was confirmed via next-generation sequencing (NGS) on hospital day 6. Despite broad-spectrum antibiotic therapy and fluid resuscitation, surgical intervention was delayed until day 9 following multidisciplinary consultation. Intraoperative findings revealed extensive "dishwater" necrosis. The patient suffered from recurrent sepsis, graft failure, and deep vein thrombosis. Due to the rapid progression and delayed source control, the outcome was unfavorable, leading to discharge against medical advice. Conclusion: This case underscores the high mortality risk associated with Vibrio vulnificus infection in immunocompromised individuals, particularly those with diabetes mellitus. Observations from this patient highlight that antibiotic therapy alone is often insufficient for necrotizing soft tissue infections. It is emphasized that in these high-risk populations, early recognition must trigger immediate, aggressive surgical debridement alongside antimicrobial therapy. Delays in surgical source control, even while awaiting molecular confirmation, can irreversibly compromise patient survival.

Indexed as

case reportnecrotizing fasciitisseptic shocksurgical debridementvibrio vulnificus

Identifiers

PMID41782852
PMCPMC12953244

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