Hand salvage using a chimeric alt flap following extensive Vibrio vulnificus necrotizing fasciitis: a case report.

Đặng Phương Nam, Trần Thiết Sơn, Tạ Thị Hồng Thuý, Phạm Thị Việt Dung, Phan Tuấn Nghĩa

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Article in Journal of medical case reports, 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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5 authors.

Đặng Phương NamDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam.ORCID http://orcid.org/0009-0009-8827-544X

Trần Thiết SơnDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam.ORCID http://orcid.org/0000-0001-6739-1059

Tạ Thị Hồng ThuýDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam.ORCID http://orcid.org/0000-0001-5536-6075

Phạm Thị Việt DungDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam.ORCID http://orcid.org/0000-0002-3912-0195

Phan Tuấn NghĩaDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam. phantuannghia@hmu.edu.vn.ORCID http://orcid.org/0000-0002-8709-6169

Funding

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6 · The paper itself

Abstract

backgroundVibrio vulnificus infection is a rare, rapidly progressing condition often acquired through wounds exposed to aquatic environments or marine animals. It can cause septic shock, organ failure, and high mortality. Reports on limb salvage in necrotizing fasciitis caused by V. vulnificus are limited. CASE PRESENTATION: A 62-year-old Vietnamese male with alcohol use and hepatitis B developed swelling, bullae, and necrosis in his left hand after a tilapia fin injury. He experienced septic shock requiring resuscitation, antibiotics, and ventilation. Cultures confirmed V. vulnificus. Surgery showed necrotizing fasciitis, leading to extensive debridement. Reconstruction used a chimeric anterolateral thigh (ALT) flap and fascia lata flap. At 18 months, his hand improved significantly in function and appearance.

conclusionsThis case emphasizes the importance of local wound management in severe V. vulnificus infection. Early radical debridement after stabilizing hemodynamics is crucial. A chimeric ALT flap is a key option for one-stage reconstruction of multiple damaged components, ensuring functional and aesthetic hand salvage.

Indexed as

Fasciitis, NecrotizingHandLimb SalvagePlastic Surgery ProceduresSurgical FlapsVibrio InfectionsAnimalsAnti-Bacterial AgentsDebridementHumansMaleMiddle AgedShock, SepticTilapiaTreatment OutcomeVibrio vulnificusAnti-Bacterial AgentsChimeric ALT flapFasciitis necrotizingHand reconstructionMicrosurgeryThinned flapTilapiaVibrio vulnificus

Identifiers

PMID42289759

DOI10.1186/s13256-026-06222-5

PMCPMC13495159

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.