Two cases of severe sepsis due to Vibrio vulnificus wound infection acquired in the Baltic Sea
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Two severe cases of Vibrio vulnificus wound infection with secondary septicemia occurred during 1 week in August 2003 on the German island of Usedom in the southwestern Baltic Sea. In both cases, pre-existing wounds were inoculated by wading in contaminated sea water. One of the patients died from septic multiorgan failure. To the best of our knowledge, this is the first fatality due to a V. vulnificus infection to have occurred in Germany. Microbiological analysis revealed high concentrations of V. vulnificus in sea water along the coastline, following a period when water temperature exceeded 20°C for more than 2 weeks.
KeywordsNecrotizing Fasciitis Vulnificus Infection Phoenix System Hemorrhagic Bullae Vulnificus Strain
The authors would like to thank U. Sill, MD, for the photograph. We would also like to thank our colleagues at the Wolgast Community Hospital for their cooperation and provision of clinical data. We likewise thank M. Littmann, MD, of the Health Authority of Mecklenburg and West Pommerania, for her cooperation