Vibrio fluvialis Bacteremia With Hemorrhagic Bullae: A Case Report

V. fluvialis is a pathogenic Gram-negative bacillus typically resulting in gastroenteritis in humans. It has recently been identified as a growing concern for public health. The case presented is an uncommon case of V. fluvialis causing bacteremia, as well as hemorrhagic skin lesions. Other reported cases have also highlighted unexpected manifestations, such as cerebritis, bacterial peritonitis, and otitis externa. These atypical presentations can happen in immunocompromised individuals. There are no established guidelines currently for the treatment of V. fluvialis bacteremia. This case presents V. fluvialis bacteremia that improved with doxycycline without the need for incision and drainage of the patient’s lower extremity lesions.