Septic Arthritis as the Initial Manifestation of Fatal Vibrio vulnificus Septicemia in a Patient With Thalassemia and Iron Overload

被引:5
作者
Kuo, Chang-Hung [1 ]
Dai, Zen-Kong [1 ,2 ]
Wu, Jiunn-Ren [1 ,2 ,3 ]
Hsieh, Tsyh-Jyi [4 ,5 ]
Hung, Chih-Hsing [1 ,2 ]
Hsu, Jong-Hau [1 ,2 ]
机构
[1] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Pediat, Kaohsiung 807, Taiwan
[2] Kaohsiung Med Univ, Dept Pediat, Fac Med, Coll Med, Kaohsiung 807, Taiwan
[3] Kaohsiung Med Univ, Dept Pediat, Kaohsiung Municipal Hsiaokang Hosp, Kaohsiung 807, Taiwan
[4] Kaohsiung Med Univ, Dept Med Imaging, Kaohsiung Med Univ Hosp, Kaohsiung 807, Taiwan
[5] Kaohsiung Med Univ, Dept Radiol, Fac Med, Coll Med, Kaohsiung 807, Taiwan
关键词
septic arthritis; septicemia; thalassemia; Vibrio vulnificus; NECROTIZING FASCIITIS; INFECTIONS; EPIDEMIOLOGY; CHILD; PATHOGENESIS; FEATURES; OYSTERS; FLORIDA;
D O I
10.1002/pbc.22176
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Vibrio vulnificus infection is an uncommon but potentially fatal 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. Pediatr Blood Cancer 2009;53:1156-1158. (C) 2009 Wiley-Liss, Inc.
引用
收藏
页码:1156 / 1158
页数:3
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