Fig. 1.

A 73 year-old male fishman with a history of diabete mellitus and oral cancer had right hand pain and swelling for 2 days after handling fish. A Preoperative photographs of the right forearm revealed severe patchy purpura, hemorrhagic bullae and edema in the emergency room. B After emergency fasciotomy, the forearm revealed extensive necrosis of underlying skin and turbid fascial layer. Three days later, the wound cultures confirmed the presence of Vibrio vulnificus. C He had received repeated debridement and vacuum assisted closure (VAC) therapy. He had received skin graft on the 42th day after fasciotomy and discharged on the 50th day. D He was followed up with a good skin growth of right forearm in the clinic