Case 160. Vibrio vulnificus infection (56 y-o M)

       
  Skin biopsy from the lethal gangrene of the thigh without gas formation, seen in a cirrhotic patient  
       

 

  The microbes are Gram-negative (Gram). Cirrhotic patients with high serum iron levels are particularly susceptible to Vibrio vulnificus. The patient ate uncooled raw oyster.