OBJECTIVE: To describe the first case of Vibrio damsela necrotizing fasciitis in New England, emphasizing the importance of very early operative intervention to achieve source control in this extremely aggressive infection. DESIGN: Case report. SETTING: Surgical intensive care unit at Tufts-New England Medical Center in Boston, MA. PATIENT: A 69-yr-old retired fisherman with rapidly progressive necrotizing fasciitis from Photobacterium (Vibrio) damsela infection and ensuing multiple-system organ failure. INTERVENTIONS: Surgical debridement, ventilator support, vasopressors, continuous veno-venous hemofiltration, and blood product transfusions. MEASUREMENTS AND MAIN RESULTS: Death. CONCLUSIONS: A high index of suspicion is necessary for the diagnosis of this specific pathogen and concordant infection. The willingness to surgically debride and amputate without hesitation at a very early point may be the only intervention capable of saving the lives of patients affected by Photobacterium (Vibrio) damsela.
OBJECTIVE: To describe the first case of Vibrio damsela necrotizing fasciitis in New England, emphasizing the importance of very early operative intervention to achieve source control in this extremely aggressive infection. DESIGN: Case report. SETTING: Surgical intensive care unit at Tufts-New England Medical Center in Boston, MA. PATIENT: A 69-yr-old retired fisherman with rapidly progressive necrotizing fasciitis from Photobacterium (Vibrio) damsela infection and ensuing multiple-system organ failure. INTERVENTIONS: Surgical debridement, ventilator support, vasopressors, continuous veno-venous hemofiltration, and blood product transfusions. MEASUREMENTS AND MAIN RESULTS: Death. CONCLUSIONS: A high index of suspicion is necessary for the diagnosis of this specific pathogen and concordant infection. The willingness to surgically debride and amputate without hesitation at a very early point may be the only intervention capable of saving the lives of patients affected by Photobacterium (Vibrio) damsela.
Authors: Amable J Rivas; Gisela von Hoven; Claudia Neukirch; Martina Meyenburg; Qianqian Qin; Sabine Füser; Klaus Boller; Manuel L Lemos; Carlos R Osorio; Matthias Husmann Journal: Infect Immun Date: 2015-08-24 Impact factor: 3.441
Authors: Gary P Richards; Michael A Watson; Edward J Crane; Iris G Burt; David Bushek Journal: Appl Environ Microbiol Date: 2008-03-31 Impact factor: 4.792