Successful management of necrotizing fasciitis due to Vibrio vulnificus : a case report

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  • Hasegawa Ayaka
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Sasaki Nobuo
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Nohara Haruna
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Arino Satoshi
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Matsuyoshi Takeo
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Ichinose Maki
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Yamaguchi Kazumasa
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Kojima Naoki
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Inagawa Hiroshi
    Department of Emergency and Critical Care Medicine, Showa General Hospital
  • Okada Yasusei
    Department of Emergency and Critical Care Medicine, Showa General Hospital

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Other Title
  • ビブリオ・バルニフィカス感染による壊死性筋膜炎, 敗血症性ショックに対して集学的治療を行い救命した1症例

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<p>A 65-year-old male presented with shock at our institute 2 days after fishing at the beach. Purpuras and blisters were observed over his lower limbs that expanded every hour. We suspected that he had necrotizing fasciitis caused by Vibrio vulnificus, and therefore we conducted bilateral above-knee amputation. However, we also observed the purpuras over the right upper limb expanding after the surgery. Therefore, we attempted to amputate the right limb, but his family refused the surgery. We decided to debride the necrotic tissue as much as possible and thus managed to save his life and the right limb after 72 days of meticulous intensive care.</p>

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