{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T18:19:02Z","timestamp":1771006742981,"version":"3.50.1"},"reference-count":48,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2015,9,29]],"date-time":"2015-09-29T00:00:00Z","timestamp":1443484800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infectious Disease Reports"],"abstract":"<jats:p>Necrotizing fasciitis is a severe life-threatening infection of the deep subcutaneous tissues and fascia. Infection with Vibrio vulnificus, a halophilic Gram-negative bacillus found worldwide in warm coastal waters, can lead to severe complications, particularly among patients with chronic liver diseases. We herein present an unusual case of necrotizing fasciitis caused by V. vulnificus triggered by acupuncture needle insertion. The patient, who suffered from diabetes mellitus and non-alcoholic fatty liver disease and worked at a fish hatchery, denied any injury prior to acupuncture. This is the first ever reported case of V. vulnificus infection triggered by acupuncture needle insertion, clearly emphasizing the potential hazards of the prolonged survival of V. vulnificus on the skin. The potential infectious complications of acupuncture needle insertion are discussed.<\/jats:p>","DOI":"10.4081\/idr.2015.5901","type":"journal-article","created":{"date-parts":[[2015,9,29]],"date-time":"2015-09-29T09:37:31Z","timestamp":1443519451000},"page":"5901","source":"Crossref","is-referenced-by-count":7,"title":["Vibrio Vulnificus Necrotizing Fasciitis Associated with Acupuncture"],"prefix":"10.3390","volume":"7","author":[{"given":"Yael","family":"Kotton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soboh","family":"Soboh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naiel","family":"Bisharat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2015,9,29]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1128\/IAI.01046-08","article-title":"Vibrio vulnificus: disease and pathogenesis","volume":"77","author":"Jones","year":"2009","journal-title":"Infect Immun"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1016\/S1286-4579(00)01321-6","article-title":"The role of seafood in bacterial foodborne diseases","volume":"2","author":"Feldhusen","year":"2000","journal-title":"Microbes Infect"},{"key":"ref3","series-title":"The biology of vibrios","first-page":"349","article-title":"Vibrio vulnificus","author":"Oliver","year":"2006"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1093\/infdis\/173.5.1176","article-title":"The epidemiology of Vibrio infections in Florida, 1981-1993","volume":"173","author":"Gary","year":"1996","journal-title":"J Infect Dis"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1093\/clinids\/15.2.271","article-title":"Vibrio vulnificus infection in Taiwan: report of 28 cases and review of clinical manifestations and treatment","volume":"15","author":"Chuang","year":"1992","journal-title":"Clin Infect Dis"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1016\/S0140-6736(99)02471-X","article-title":"Clinical, epidemiological, and microbiological features of Vibrio vulnificus biogroup 3 causing outbreaks of wound infection and bacteraemia in Israel. 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