MR Imaging Findings of Lower Extremity Sepsis Caused by Vibrio Vulnificus: A Report of Three Cases

• Main Authors: Jihyun Kim, Sung Hye Koh, Soo Kee Min, Jeong-a Lee, Kwanseop Lee
• Format: Article
• Language: English
• Published: The Korean Society of Radiology 2017-01-01
• Series: 대한영상의학회지
• Subjects: vibrio vulnificus; lower extremity; soft tissue infections; magnetic resonance imaging
• Online Access: https://doi.org/10.3348/jksr.2017.76.1.54
• ISSN: 1738-2637; 2288-2928

Lower extremity infection caused by Vibrio vulnificus sepsis is a rapidly progressing fatal condition. Prompt diagnosis followed by early and aggressive treatment with antibiotics and fasciotomy is crucial. In this report, we described lower extremity magnetic resonance (MR) images of three patients with Vibrio vulnificus sepsis. In our cases, MR imaging of lower extremity with Vibrio vulnificus sepsis showed three common findings. First, the MR signal abnormalities appeared simultaneously in all layers, including skin, subcutaneous fat, muscles, and deep fasciae. Second, the inflammation showed symmetry on both legs. Third, none of our cases was accompanied by abscess formation. These imaging features may represent rapid progression of Vibrio vulnificus sepsis and could be helpful for accurate diagnosis, and prompt and aggressive treatment.