由创伤弧菌感染引起的化脓性关节炎及随后的致命性感染性休克。
Septic arthritis and subsequent fatal septic shock caused by Vibrio vulnificus infection.
作者信息
Emamifar Amir, Asmussen Andreasen Rikke, Skaarup Andersen Nanna, Jensen Hansen Inger Marie
机构信息
Department of Rheumatology, University Hospital of Odense, Svendborg Hospital, Svendborg, Denmark.
Department of Clinical Microbiology, University Hospital of Odense, Svendborg Hospital, Odense, Denmark.
出版信息
BMJ Case Rep. 2015 Nov 24;2015:bcr2015212014. doi: 10.1136/bcr-2015-212014.
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.
摘要
创伤弧菌是一种罕见但可能致命的细菌，可导致严重感染。伤口感染、原发性败血症和肠胃炎是最常见的临床特征。由创伤弧菌引起的化脓性关节炎是一种非典型表现，仅有两篇病例报告；然而，丹麦此前尚未有过相关报道。作者报告了一例免疫功能低下患者由创伤弧菌引起的化脓性关节炎病例。该疾病在入院后10小时内进展为严重败血症并随后死亡。
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