title: Septic arthritis as the initial manifestation of fatal Vibrio vulnificus septicemia in a patient with thalassemia and iron overload.
abstract: Vibrio vulnificus infection is an uncommon but potentially fatal disease in children such that prompt recognition has prognostic implications. We describe here the case of a 9-year-old female with thalassemia and iron overload who presented with septic arthritis as an atypical initial manifestation of fatal V. vulnificus septicemia. This report underscores the possibility of septic arthritis as an early manifestation of V. vulnificus septicemia. Pediatricians should be alert to this extremely invasive disease, especially in children with iron overload.
authors: Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors: Chang-Hung
authors: CH
authors: Kuo
authors: Zen-Kong
authors: ZK
authors: Dai
authors: Jiunn-Ren
authors: JR
authors: Wu
authors: Tsyh-Jyi
authors: TJ
authors: Hsieh
authors: Chih-Hsing
authors: CH
authors: Hung
authors: Jong-Hau
authors: JH
authors: Hsu
mesh_terms: D001170:Arthritis, Infectious / Q000821:virology*; D002648:Child; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D019190:Iron Overload / Q000150:complications*; D007719:Knee Joint / Q000473:pathology; D008279:Magnetic Resonance Imaging; D018805:Sepsis / Q000150:complications*; D013789:Thalassemia / Q000150:complications*; D041261:Vibrio vulnificus