# Vibrio vulnificus infection caused by a hand puncture wound from seafood: a case report

## TL;DR

A man from a non-coastal area in China developed a severe Vibrio vulnificus infection after a seafood-related hand injury and was successfully treated with timely diagnosis and intervention.

## Contribution

Highlights the importance of early diagnosis and treatment of Vibrio vulnificus infection in non-endemic regions to prevent severe outcomes.

## Key findings

- The patient's infection was diagnosed early based on medical history and symptoms, avoiding misdiagnosis.
- Combination antibiotic therapy and fasciotomy preserved the patient's hand and forearm.
- The case emphasizes the need for awareness of Vibrio vulnificus infection even in non-coastal regions.

## Abstract

Vibrio vulnificus infection is characterized by rapid progression and poor prognosis, which can lead to disability or death without timely intervention. In some cities or countries where the incidence of V. vulnificus infection is not high, it is easy to cause misdiagnosis and delay the treatment of the disease. This case showed a 42-year-old man from a non-coastal area in China who accidentally stabbed his right hand while handling seafood 1 day earlier. He developed significant local redness, swelling, pain, and systemic symptoms. When the patient visits the doctor, the doctor makes an accurate initial diagnosis based on the patient’s medical history and clinical manifestations. Effective antibiotic combination treatment is given before the feedback of bacterial culture results. Fasciotomy is immediately performed when there are signs of progression of osteofascial compartment syndrome. Finally, the patient’s right hand and right forearm were preserved.