title: Septic arthritis and subsequent fatal septic shock caused by Vibrio vulnificus infection.
abstract: Vibrio vulnificus is a rare but potential fatal bacterium that can cause severe infections. Wound infections, primary sepsis and gastroenteritis are the most common clinical features. Septic arthritis caused by V. vulnificus is an atypical presentation that has been reported in only two case reports; however, it has not been previously noted in Denmark. The authors report a case of septic arthritis caused by V. vulnificus in an immunocompromised patient. The disease progressed to severe sepsis and subsequent death within 10 h of admission.
authors.affiliation: Department of Rheumatology, University Hospital of Odense, Svendborg Hospital, Svendborg, Denmark.
authors.forename: Amir
authors.initials: A
authors.lastname: Emamifar
authors.affiliation: Department of Rheumatology, University Hospital of Odense, Svendborg Hospital, Svendborg, Denmark.
authors.forename: Rikke
authors.initials: R
authors.lastname: Asmussen Andreasen
authors.affiliation: Department of Clinical Microbiology, University Hospital of Odense, Svendborg Hospital, Odense, Denmark.
authors.forename: Nanna
authors.initials: N
authors.lastname: Skaarup Andersen
authors.affiliation: Department of Clinical Microbiology, University Hospital of Odense, Svendborg Hospital, Odense, Denmark.
authors.forename: Inger Marie
authors.initials: IM
authors.lastname: Jensen Hansen
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D002316:Cardiotonic Agents / Q000008:administration & dosage*; D002444:Cefuroxime / Q000008:administration & dosage; D003718:Denmark; D004280:Dobutamine / Q000008:administration & dosage*; D024881:Drug Resistance, Bacterial; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D000077731:Meropenem; D008826:Microbial Sensitivity Tests; D012772:Shock, Septic / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D013845:Thienamycins / Q000008:administration & dosage*; D014735:Vibrio Infections / Q000150:complications / Q000382:microbiology* / Q000473:pathology; D041261:Vibrio vulnificus / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D002316:Cardiotonic Agents; D013845:Thienamycins; D004280:Dobutamine; D000077731:Meropenem; D002444:Cefuroxime