A case report of septic shock due to percutaneous Vibrio vulnificus infection that caused right thigh amputation

DOI
  • Honda Kazuhiro
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine
  • Matsuda Wataru
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine
  • Funato Yumi
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine
  • Yamamoto Makiko
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine
  • Uemura Tatsuki
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine
  • Kobayashi Kentaro
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine
  • Fukushima Kenji
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine
  • Sasaki Ryo
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine
  • Kimura Akio
    Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine

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Other Title
  • 右大腿部切断術を要した経皮型Vibrio vulnificus感染症による敗血症性ショックの1例

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Abstract

<p>A 53-year-old man, with liver cirrhosis, was brought to our emergency department by ambulance because of painful, right lower-leg abrasions that caused by a rock in seawater. He was diagnosed septic shock due to right lower limb soft tissue infection caused by vibrio vulnificus. He received vasopressor support, intubation, mechanical ventilation and antibiotics. Then, he liberated from shock and invasive mechanical ventilation. The wound was washed daily, but necrosis around the wound progressed, and finally, a right femoral amputation was performed. He transferred hospitals in order to receive an artificial leg and undergo rehabilitation.</p>

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