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Fulminant necrotizing fasciitis due to Vibrio parahaemolyticus

¹ Hospital Universitario de Guadalajara. Seccion de Microbiologia.;

² Hospital Universitario de Guadalajara. Servicio de Geriatria

³ E-mail: danielt{at}sescam.jccm.es

Received July 21, 2009
Accepted September 24, 2009

Necrotizing soft-tissue infection due to V. parahaemolyticus is exceptional. We report a case of necrotizing fasciitis due to V. parahaemolyticus in a 92-year-old woman with a history of chronic renal failure, diabetes mellitus and malnutrition. Clinical evolution was fulminant and the patient died after 6 hours of admission. The review of all cases previously reported shows that the infection occur in patients with underlying diseases through ingestion of raw oysters or inoculation via traumatic injury in marine environments. Mortality rate of all reviewed cases was 42.8%. In conclusion, V. parahaemolyticus should be considered as a possible causative agent of necrotizing fasciitis, especially in patients with underlying diseases. Early diagnosis and prompt aggressive debridement associated with antibiotic therapy are essential in order to save the patient's life, because clinical evolution can be fulminant and mortality rates are high.