Painful ecchymosis and crepitus after a recent laceration should raise concern for necrotizing soft-tissue infection (NSTI). Clinicians should know that NSTI can progress rapidly through the skin, fascia, or muscle; early recognition is critical to prevent limb loss or death. In this case, Vibrio vulnificus was identified, consistent with exposure to coastal waters. V. vulnificus outbreaks are more common during periods of warmer sea temperatures, so be especially wary of raw oysters and saltwater in those times. Need some more clinical pearls on NSTI? Take a look at this review.
Comment
Painful ecchymosis and crepitus after a recent laceration should raise concern for necrotizing soft-tissue infection (NSTI). Clinicians should know that NSTI can progress rapidly through the skin, fascia, or muscle; early recognition is critical to prevent limb loss or death. In this case, Vibrio vulnificus was identified, consistent with exposure to coastal waters. V. vulnificus outbreaks are more common during periods of warmer sea temperatures, so be especially wary of raw oysters and saltwater in those times. Need some more clinical pearls on NSTI? Take a look at this review.