Vibrio vulnificus sepsis following Naja atra Snakebite: A rare case report from Vietnam.

We report a rare case of Vibrio vulnificus infection following a Naja atra snakebite. An 80-year-old woman with no prior medical history who collected fish along the coastal area of Thai Thuy commune, Thai Binh province, Vietnam, was bitten by a Naja atra snake. The patient was infected with Vibrio vulnificus, a highly virulent gram-negative bacterium typically found in marine or brackish environments. The patient developed extensive tissue necrosis, septic shock, and bacteremia and presented to hospital 18 h post-bite. She received intensive treatment including antivenom therapy, broad-spectrum antibiotics, continuous renal replacement therapy, and surgical debridement. The patient recovered and was discharged home after 15 days of intensive care. This is the first documented case at our poison control center in Bach Mai Hospital, Hanoi, Vietnam. This case highlights the importance of early detection and management of atypical infections following snakebites with coastal exposure.