Necrotizing Fasciitis Caused by Photobacterium damselae: The First Case in Portugal

Authors

DOI:

https://doi.org/10.20344/amp.13032

Keywords:

Bacterial Infections, Fasciitis, Necrotizing, Hand Injuries, Photobacterium, Vibrio Infections

Abstract

Necrotizing fasciitis is a severe soft tissue infection with a high mortality rate and therefore requires emergent surgical treatment. Several microorganisms can cause this infection, Photobacterium damselae being one of them, with only eight cases previously published in the literature. We report the first ever case of necrotizing fasciitis, caused by this microorganism, in Portugal. In this case report the patient survived after several debridement procedures and reconstruction of the upper limb with acellular dermal matrix and skin graft. A brief review of the Photobacterium damselae soft tissue infection reports as well as the clinical presentation, diagnosis, pathophysiology and treatment of necrotizing fasciitis can also be found in this paper.

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Author Biographies

Diogo Guimaraes, Serviço de Cirurgia Plástica Reconstrutiva e Estética. Centro Hospitalar Universitário Lisboa Central. Lisboa.

Resident in Plastic and Reconstructive Surgery

Luís Ribeiro, Serviço de Cirurgia Plástica Reconstrutiva e Estética. Centro Hospitalar Universitário Lisboa Central. Lisboa.

Resident in Plastic and Reconstructive Surgery

Luís Vieira, Serviço de Cirurgia Plástica Reconstrutiva e Estética. Centro Hospitalar Universitário Lisboa Central. Lisboa.

Resident in Plastic and Reconstructive Surgery

Ruben Coelho, Serviço de Cirurgia Plástica Reconstrutiva e Estética. Centro Hospitalar Universitário de São João. Lisboa

Assistant in Plastic and Reconstructive Surgery

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Published

2021-08-31

How to Cite

1.
Guimaraes D, Ribeiro L, Vieira L, Coelho R. Necrotizing Fasciitis Caused by Photobacterium damselae: The First Case in Portugal. Acta Med Port [Internet]. 2021 Aug. 31 [cited 2024 Apr. 16];34(9):615-8. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13032

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Section

Case Report