{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:39:29Z","timestamp":1777448369357,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T00:00:00Z","timestamp":1683763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Vibrio vulnificus is an opportunistic gram-negative rod-shaped bacteria found in warm, low salinity waters. Transmission through open wounds or consumption of contaminated seafood can lead to wound infections, sepsis, and potentially death. A 44-year-old man with a history of poly-substance abuse, cirrhosis, and recent oyster consumption presented to the emergency department in June with acute onset bilateral leg pain associated with rash and fever. Within 6\u00a0hours of his arrival, the rash rapidly progressed to large bullae with extensive necrosis ascending to the level of the abdomen, and he developed septic shock. Despite prompt surgical intervention and appropriate antibiotic and resuscitative therapies, the patient had progressive multi-system organ failure and died 7\u00a0days after admission. Concurrent necrotizing fasciitis with sepsis secondary to V. vulnificus infection is rare and potentially fatal, as demonstrated in this case.<\/jats:p>","DOI":"10.1177\/00031348231174013","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T02:52:16Z","timestamp":1683859936000},"page":"3896-3897","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Fulminant Overwhelming Necrotizing\n                    <i>Vibrio vulnificus<\/i>\n                    Sepsis Secondary to Oyster Consumption"],"prefix":"10.1177","volume":"89","author":[{"given":"Chelsea L.","family":"Spector","sequence":"first","affiliation":[{"name":"General Surgery Residency, Memorial Healthcare System, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Hernandez","sequence":"additional","affiliation":[{"name":"General Surgery Residency, Memorial Healthcare System, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chauniqua","family":"Kiffin","sequence":"additional","affiliation":[{"name":"Trauma Critical Care Surgery, Memorial Healthcare System, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seong","family":"Lee","sequence":"additional","affiliation":[{"name":"Trauma Critical Care Surgery, Memorial Healthcare System, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,11]]},"reference":[{"key":"bibr1-00031348231174013","volume-title":"UpToDate","author":"Morris JG"},{"key":"bibr2-00031348231174013","doi-asserted-by":"publisher","DOI":"10.1016\/j.tim.2019.08.006"},{"key":"bibr3-00031348231174013","doi-asserted-by":"publisher","DOI":"10.1007\/s00248-012-0162-3"},{"key":"bibr4-00031348231174013","doi-asserted-by":"publisher","DOI":"10.1128\/aem.02042-14"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231174013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231174013","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231174013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:45Z","timestamp":1777379865000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231174013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,11]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/00031348231174013"],"URL":"https:\/\/doi.org\/10.1177\/00031348231174013","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,11]]}}}