Vibrio vulnificus infection caused by a hand puncture wound from seafood: a case report

<i>Vibrio vulnificus</i> infection is characterized by rapid progression and poor prognosis, which can lead to disability or death without timely intervention. In some cities or countries where the incidence of <i>V. vulnificus</i> infection is not high, it is easy to cause misdiagnosis and delay the treatment of the disease. This case showed a 42-year-old man from a non-coastal area in China who accidentally stabbed his right hand while handling seafood 1 day earlier. He developed significant local redness, swelling, pain, and systemic symptoms. When the patient visits the doctor, the doctor makes an accurate initial diagnosis based on the patient's medical history and clinical manifestations. Effective antibiotic combination treatment is given before the feedback of bacterial culture results. Fasciotomy is immediately performed when there are signs of progression of osteofascial compartment syndrome. Finally, the patient's right hand and right forearm were preserved.