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

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.

Emamifar A ，Asmussen Andreasen R ，Skaarup Andersen N ，Jensen Hansen IM ... -  《-》

[Septic shock after exposure to Vibrio vulnificus].

Theede K ，Pfeiffer P ，Skovbjerg H 《-》

Atypical manifestation of Vibrio vulnificus septicaemia.

Lin LW ，Hung SW ，Lin CS ，Liu CL ，Chong CF ... -  《-》

Vibrio vulnificus septic shock due to a contaminated tattoo.

We present a case of Vibrio vulnificus septic shock and cellulitis in a patient with chronic liver disease that occurred after obtaining a leg tattoo with subsequent seawater exposure in the Gulf of Mexico. Initial suspicion for V. vulnificus was high and he was started on empiric doxycycline and ceftriaxone at admission. Blood and wound cultures grew oxidase positive and comma-shaped Gram-negative rods ultimately confirmed to be V. vulnificus. Despite aggressive initial treatment, the patient developed septic shock and died. This case highlights the association of chronic liver disease and high mortality associated with infections of V. vulnificus Health providers should remain vigilant for V. vulnificus infections in patients with chronic liver disease and raw oyster ingestion or seawater exposure.

Hendren N ，Sukumar S ，Glazer CS 《-》

Vibrio vulnificus infection in São Paulo, Brazil: case report and literature review.

de Araujo MR ，Aquino C ，Scaramal E ，Ciola CS ，Schettino G ，Machado MC ... -  《-》