Vibrio fluvialis Bacteremia With Bullous Cellulitis

<i>Vibrio fluvialis</i> is a gram-negative bacillus commonly implicated in outbreaks of gastroenteritis. The bacterium has been identified as an emerging pathogen in recent years, with increasing reports of extraintestinal manifestations. This report discusses a case of bacteremia presumed secondary to bullous cellulitis of the left lower extremity, with blood cultures positive for <i>Vibrio fluvialis</i> and <i>Streptococcus dysgalactiae</i>. The patient presented with progressively worsening quadriplegia and falls, with one week of progressive discoloration of the left lower extremity. He denied any gastrointestinal symptoms and had no recent history of seawater exposure or seafood consumption. Initial inpatient management consisted of parenteral antibiotics, although complications eventually necessitated an above-the-knee amputation (AKA).