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Case Repository| Volume 47, ISSUE 9, P905.e1-905.e8, September 2022

Photobacterium damsela Necrotizing Fasciitis of the Arm

Published:September 30, 2021DOI:https://doi.org/10.1016/j.jhsa.2021.07.033
      Photobacterium damsela is a gram-negative bacterium that is known to cause infection, most commonly in marine animals and rarely in humans. Photobacterium damsela typically results in skin and soft tissue infections in humans and has been associated with necrotizing fasciitis in several case reports. After an initially benign presentation, P damsela necrotizing fasciitis often progresses rapidly to multiorgan failure and death. Here, we present a fatal case of P damsela necrotizing fasciitis after a minor cut while scaling a fish with a discussion of current literature and treatment strategies.

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      References

        • Rivas A.J.
        • Lemos M.L.
        • Osorio C.R.
        Photobacterium damselae subsp. damselae, a bacterium pathogenic for marine animals and humans.
        Front Microbiol. 2013; 4: 283
        • Morris J.G.
        • Wilson R.
        • Hollis D.
        • et al.
        Illness caused by Vibrio damsela and Vibrio hollisae.
        Lancet. 1982; 319: 1294-1297
        • Alvarez J.R.
        • Lamba S.
        • Dyer K.Y.
        • Apuzzio J.J.
        An unusual case of urinary tract infection in a pregnant woman with Photobacterium damsela.
        Infect Dis Obstet Gynecol. 2006; 2006: 80682
        • Kim H.R.
        • Kim J.W.
        • Lee M.K.
        • Kim J.G.
        Septicemia progressing to fatal hepatic dysfunction in an cirrhotic patient after oral ingestion of Photobacterium damsela: a case report.
        Infection. 2009; 37: 555-556
        • Clarridge J.E.
        • Zighelboim-Daum S.
        Isolation and characterization of two hemolytic phenotypes of Vibrio damsela associated with a fatal wound infection.
        J Clin Microbiol. 1985; 21: 302-306
        • Coffey J.A.
        • Harris R.L.
        • Rutledge M.L.
        • Bradshaw M.W.
        • Williams T.W.
        Vibrio damsela: another potentially virulent marine Vibrio.
        J Infect Dis. 1986; 153: 800-802
        • Perez-Tirse J.
        • Levine J.F.
        • Mecca M.
        • damsel Vibrio
        A cause of fulminant septicemia.
        Arch Intern Med. 1993; 153: 1838-1840
        • Yuen K.Y.
        • Ma L.
        • Wong S.S.Y.
        • Ng W.F.
        Fatal necrotizing fasciitis due to Vibrio damsela.
        Scand J Infect Dis. 1993; 25: 659-661
        • Shin J.H.
        • Shin M.G.
        • Suh S.P.
        • Ryang D.W.
        • Rew J.S.
        • Nolte F.S.
        Primary Vibrio damsela septicemia.
        Clin Infect Dis. 1996; 22: 856-857
        • Fraser S.L.
        • Purcell B.K.
        • Delgado B.
        • Baker A.E.
        • Whelen A.C.
        Rapidly fatal infection due to Photobacterium (Vibrio) damsela.
        Clin Infect Dis. 1997; 25: 935-936
        • Tang W.M.
        • Wong J.W.
        Necrotizing fasciitis caused by Vibrio damsela.
        Orthopedics. 1999; 22: 443-444
        • Barber G.R.
        • Swygert J.S.
        Necrotizing fasciitis due to Photobacterium damsela in a man lashed by a stingray.
        N Engl J Med. 2000; 342 (824–824)
        • Yamane K.
        • Asato J.
        • Kawade N.
        • Takahashi H.
        • Kimura B.
        • Arakawa Y.
        Two cases of fatal necrotizing fasciitis caused by Photobacterium damsela in Japan.
        J Clin Microbiol. 2004; 42: 1370-1372
        • Goodell K.H.
        • Jordan M.R.
        • Graham R.
        • Cassidy C.
        • Nasraway S.A.
        Rapidly advancing necrotizing fasciitis caused by Photobacterium (Vibrio) damsela: a hyperaggressive variant.
        Crit Care Med. 2004; 32: 278-281
        • Nakamura Y.
        • Uchihira M.
        • Ichimiya M.
        • Morita K.
        • Muto M.
        Necrotizing fasciitis of the leg due to Photobacterium damsela.
        J Dermatol. 2008; 35: 44-45
        • Guimaraes D.
        • Ribeiro L.
        • Vieira L.
        • Coelho R.
        Necrotizing fasciitis caused by Photobacterium damselae: the first case in Portugal.
        Acta Med Port. 2020; 33: 615-618
        • Wong C.H.
        • Chang H.C.
        • Pasupathy S.
        • Khin L.W.
        • Tan J.L.
        • Low C.O.
        Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality.
        J Bone Joint Surg Am. 2003; 85: 1454-1460
        • Tsai Y.H.
        • Hsu R.W.
        • Huang K.C.
        • et al.
        Systemic Vibrio infection presenting as necrotizing fasciitis and sepsis. A series of thirteen cases.
        J Bone Joint Surg Am. 2004; 86: 2497-2502