![]() ![]() V alginolyticus was the only microorganism isolated in the present case. 1 V alginolyticus is pathogenic for humans, although its virulence is low, and it is acquired after exposure to seawater or marine animals. It is the most halophilic of the Vibrio species, since it can grow in salt concentrations as high as 10%. V alginolyticus is a Gram-negative rod belonging to the genus Vibrio. Progress was good, and the ulcer resolved after 3 months. Antibiotic therapy was started with doxycycline and ceftriaxone for 10 days. The lesion was debrided, even though no microorganisms grew in the culture. 1B) and development of osteomyelitis ( Fig. However, the course was indolent, with the formation of a skin abscess ( Fig. Based on the results of the antibiogram, treatment was started with oral ciprofloxacin. Culture of the exudate revealed Vibrio alginolyticus ( Fig. These findings were compatible with radiation-induced dermatitis. Histopathology revealed collagenic fibrosis in the dermis and signs of vascular disease but no cellular atypia. A substantial amount of tissue was taken from the margin and base of the ulcer for biopsy. A blood workup revealed no leukocytosis or increased C-reactive protein levels. He reported no history of diabetes, hypertension, smoking, or other systemic symptoms or conditions of interest.Įxamination of the skin revealed an ulcer with yellowish exudate, indurated margins, and atrophic skin in the adjacent areas. The patient lived on the island of Mallorca and habitually walked along the seashore. ![]() The lesion appeared during the month of August on atrophic and scarred skin that was compatible with chronic radiation-induced dermatitis over an area where 15 years earlier he had received radiation therapy for a skin lesion of unknown origin (no medical or histological data were available). ![]() We report the case of a 66-year-old man with a painful ulcer that he first noticed on the sole of his left foot 2 months previously. ![]()
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