Bulgarian Woman Survives Rare ‘Flesh-Eating’ Bacterial Infection Following Seawater Exposure

The successful treatment marks an unprecedented case in Bulgaria, as there are no known records of anyone in the country surviving a bloodborne infection from this bacterium

The patient sustained a leg injury while on vacation at the Silistar campsite and, despite having an open wound, entered the sea
The patient sustained a leg injury while on vacation at the Silistar campsite and, despite having an open wound, entered the sea

A 61-year-old woman has made a remarkable recovery at Burgas City Hospital after contracting a rare and potentially deadly bacterial infection from Vibrio vulnificus, commonly known as the “flesh-eating bacteria.”

The successful treatment marks an unprecedented case in Bulgaria, as there are no known records of anyone in the country surviving a bloodborne infection from this bacterium.

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The case comes amid growing awareness of the dangers posed by the bacteria, which last year was responsible for five fatalities in Tampa Bay, Florida.

The patient sustained a leg injury while on vacation at the Silistar campsite and, despite having an open wound, entered the sea.

Within hours, her leg began to swell significantly, and large blisters formed around the injury site. Recognizing the severity of her symptoms, she sought medical attention at Burgas City Hospital, where she was quickly attended to by surgeon Dr. Todor Shuplev.

“We confirmed the infection and proceeded with surgery on the leg to prevent further spread,” explained Dr. Shuplev.

“We also collected a microbiological sample to identify the specific pathogen.” The rapid response was critical, as Vibrio vulnificus is known for causing sepsis at an alarming rate, with potentially fatal outcomes if not promptly treated.

Dr. Kalina Tsankova, a microbiologist at the hospital, was able to quickly identify the bacterium, having encountered Vibrio vulnificus only three times in her career. “You can’t go wrong with this one,” she said.

“It is motile and does not thrive in environments where similar bacteria do.” An antibiogram was promptly conducted to determine the most effective antibiotics, and a targeted treatment regimen was initiated alongside continued surgical intervention.

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The road to recovery was long and arduous. The patient required a month of intensive treatment, which involved ten surgical procedures and extensive medical care.

The cost of medications alone totaled 9,000 leva (4,500 euros), far exceeding the standard costs covered by the hospital’s clinical pathways.

This figure does not account for other expenses, such as medical supplies and the time dedicated by doctors, nurses, and laboratory technicians.

The case highlights the financial strain that complex medical cases can place on public hospitals.

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“When questioning why public hospitals face financial difficulties, this is a prime example,” noted the Second Surgery department. “We tend to have one such patient every three to four months who requires extensive treatment.”

Vibrio vulnificus infections are rare but can be life-threatening, especially when the bacterium enters the bloodstream through an open wound.

It is often found in warm coastal waters and can lead to necrotizing fasciitis—a severe condition that destroys body tissues. The bacterium’s nickname, “flesh-eating bacteria,” reflects its aggressive nature and rapid progression.

The woman’s case will be documented in a scientific publication and presented at an upcoming medical congress, offering valuable insights into the treatment and management of Vibrio vulnificus infections.

Her recovery not only serves as a medical milestone for Bulgaria but also underscores the critical importance of timely medical intervention and specialized care in tackling rare and dangerous infections.

 

This article was created using automation technology and was thoroughly edited and fact-checked by one of our editorial staff members