Vibrio vulnificus septic shock due to a contaminated tattoo

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20 Scopus citations


We present a case of Vibrio vulnificus septic shock and cellulitis in a patient with chronic liver disease that occurred after obtaining a leg tattoo with subsequent seawater exposure in the Gulf of Mexico. Initial suspicion for V. vulnificus was high and he was started on empiric doxycycline and ceftriaxone at admission. Blood and wound cultures grew oxidase positive and comma-shaped Gram-negative rods ultimately confirmed to be V. vulnificus. Despite aggressive initial treatment, the patient developed septic shock and died. This case highlights the association of chronic liver disease and high mortality associated with infections of V. vulnificus. Health providers should remain vigilant for V. vulnificus infections in patients with chronic liver disease and raw oyster ingestion or seawater exposure.

Original languageEnglish (US)
Article numberbcr-2017-220199
JournalBMJ Case Reports
StatePublished - 2017


  • Adult intensive care
  • Cirrhosis
  • Infections

ASJC Scopus subject areas

  • Medicine(all)


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