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Skin and soft tissue infections are fairly common infectious presentations almost all physicians have experience with. In general, gram positive organisms tend to predominate in community-acquired cellulitis, usually skin organisms, which manage to get access to the soft tissues through a break in the skin itself. Exposure to water can change the microbiology of skin
Vibrio Vulnificus is one of those board questions that pops up occasionally. The stem usually goes along the liens of “a cirrhotic eats raw oysters/goes to the beach and has a severe skin and soft tissue infection.” This is usually followed by a question about the etiology. There have been some news stories regarding this
Dr. Germophile 