{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T01:43:36Z","timestamp":1781747016393,"version":"3.54.5"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,13]]},"abstract":"<jats:p>We present a case of <jats:italic>Vibrio vulnificus<\/jats:italic> 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 <jats:italic>V. vulnificus<\/jats:italic> 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 <jats:italic>V. vulnificus.<\/jats:italic> 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 <jats:italic>V. vulnificus<\/jats:italic>. Health providers should remain vigilant for <jats:italic>V. vulnificus<\/jats:italic> infections in patients with chronic liver disease and raw oyster ingestion or seawater exposure.<\/jats:p>","DOI":"10.1136\/bcr-2017-220199","type":"journal-article","created":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T07:45:24Z","timestamp":1495871124000},"page":"bcr-2017-220199","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["<i>Vibrio vulnificus<\/i> septic shock due to a contaminated tattoo"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0551-7864","authenticated-orcid":false,"given":"Nicholas","family":"Hendren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senthil","family":"Sukumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig S","family":"Glazer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,5,27]]},"reference":[{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2010.11.003"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.2","unstructured":"Organization, W. H. Risk assessment of Vibrio vulnificus in raw oysters: interpretative summary and technical report, 2005:1\u2013135."},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.3","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-109-4-318"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.4","doi-asserted-by":"crossref","unstructured":"Nazir S , Brown K , Shin AK , et al . Vibrio vulnificus infection and liver cirrhosis: a potentially lethal combination. BMJ Case Rep 2016;2016.doi:10.1136\/bcr-2016-214772","DOI":"10.1136\/bcr-2016-214772"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.5","doi-asserted-by":"publisher","DOI":"10.1086\/515367"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00070-09"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.7","doi-asserted-by":"publisher","DOI":"10.1128\/IAI.71.7.4212-4216.2003"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1348-0421.2000.tb02577.x"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.9","first-page":"146","article-title":"Identification and characterization of the Vibrio vulnificus rtxA essential for cytotoxicity in vitro and virulence in mice","volume":"45","author":"Lee","year":"2007","journal-title":"J Microbiol"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.10","first-page":"118","article-title":"Molecular pathogenesis of Vibrio vulnificus","volume":"43 Spec No","author":"Gulig","year":"2005","journal-title":"J Microbiol"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.11","doi-asserted-by":"publisher","DOI":"10.1128\/IAI.01046-08"},{"key":"2025082801295288000_2017.may27_1.bcr-2017-220199.12","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-007-0358-5"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-220199","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:29:59Z","timestamp":1756369799000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-220199"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,27]]},"references-count":12,"alternative-id":["10.1136\/bcr-2017-220199"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-220199","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,27]]}}}