Septic arthritis and subsequent fatal septic shock caused by Vibrio vulnificus infection

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.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage*
  • Arthritis, Infectious / drug therapy
  • Arthritis, Infectious / microbiology*
  • Arthritis, Infectious / pathology
  • Cardiotonic Agents / administration & dosage*
  • Cefuroxime / administration & dosage
  • Denmark
  • Dobutamine / administration & dosage*
  • Drug Resistance, Bacterial
  • Fatal Outcome
  • Humans
  • Male
  • Meropenem
  • Microbial Sensitivity Tests
  • Shock, Septic / drug therapy
  • Shock, Septic / microbiology*
  • Shock, Septic / pathology
  • Thienamycins / administration & dosage*
  • Vibrio Infections / complications
  • Vibrio Infections / microbiology*
  • Vibrio Infections / pathology
  • Vibrio vulnificus / isolation & purification*

Substances

  • Anti-Bacterial Agents
  • Cardiotonic Agents
  • Thienamycins
  • Dobutamine
  • Meropenem
  • Cefuroxime