Korean J Med > Volume 77(5); 2009 > Article
The Korean Journal of Medicine 2009;77(5):649-653.
Autopsy case: Vibrio vulnificus sepsis confirmed by autopsy
Su Jin Lee, Gam Rae Jo, Gi Yeong Huh
부검을 통해 확진된 비브리오 불니피쿠스(Vibrio vulnificus) 패혈증 1예
이수진, 조갑래, 허기영
Abstract
Vibrio vulnificus primary septicemia is a serious illness associated with high mortality rates and is caused by the ingestion of raw or undercooked shellfish. Most patients admitted with V. vulnificus infection are immunocompromised or have an underlying disease, such as liver cirrhosis or hemochromatosis. In contrast, the authors experienced an uncommon case in which a patient with no known underlying disease rapidly progressed to sepsis with hypotensive shock, followed by death within a few hours. Based on a postmortem examination, tissue cultures, and blood cultures, it was determined that the patient had been infected with V. vulnificus and had chronic liver disease. There are no reports in Korea on the clinicopathological findings of V. vulnificus infection. Here, we present the case of a patient with V. vulnificus septicemia and describe the associated clinical symptoms and clinicopathological findings discovered upon autopsy.
Key Words: Autopsy; Sepsis; Vibrio vulnificus


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