A Risky Seafood Meal

A 71-year-old man with diabetes develops fever, Hand Pain, and hemorrhagic bullae after eating raw seafood. Explore this rapidly progressing infection.

Vibrio vulnificus


A 71-year-old man presented with fever and excruciating left-hand pain that developed 12 hours after eating raw seafood. His past medical history was significant for type 2 diabetes mellitus, hypertension, and end-stage renal disease. At time of presentation, a hemorrhagic bullae measuring 3.5 by 4.5 cm had developed in the palm of his left hand. Surgical intervention was performed and a causative organism was isolated. What is the most likely organism?

What is the most likely diagnosis?

Staphylococcus aureus
Streptococcus pyogenes
Haemophilus influenza
Vibrio vulnificus
Pseudomonas aeruginosa

Hemorrhagic Bullae, Immunocompromised, Raw Seafood, Sepsis, Vibrio vulnificus

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