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Septic arthritis (SA) is a less common joint pathology with potentially fatal outcome. It is considered a medical emergency, in which prompt diagnosis and differentiation of bacterial etiology is essential for appropriate management. The knee is the most prevalent site for SA (~50% of cases), followed by hip, shoulder, and elbow.

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Case: Immunomodulatory injections are becoming common long-term treatments for neuromuscular diseases such as multiple sclerosis (MS), although they carry a risk of local site infection. We describe a case of a 57-year-old man who developed necrotizing fasciitis of the anterior thigh secondary to intramuscular (IM) injections of interferon-beta-1A for MS, ultimately developing septic shock and requiring serial debridements for source control.

Conclusions: This is the first reported case of necrotizing fasciitis from chronic IM injections for MS and deserves particular attention because of the immunosuppressive nature of the injections.

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We report an 18-year-old female individual with septic arthritis due to Mycobacterium kansasii. Three years and 6 months before arthritis, the patient underwent bone marrow transplantation and developed severe chronic graft-versus-host disease. The arthritis was refractory to medication, and she underwent joint lavage of the right foot, hip joint, and elbow joint.

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Adverse events with fatal outcome associated with alemtuzumab treatment in multiple sclerosis.

BMC Res Notes

August 2019

Norwegian Multiple Sclerosis Competence Centre, Department of Neurology, Haukeland University Hospital, Post Office Box 1400, 5021, Bergen, Norway.

Article Synopsis
  • - The study aims to systematically analyze fatal adverse events linked to the treatment of multiple sclerosis with alemtuzumab (Lemtrada®) by reviewing data from the European Medicines Agency database.
  • - Out of the ten cases reviewed, there were nine with probable and one with possible links to fatal outcomes, with most deaths occurring within the first month post-treatment due to various serious health issues.
  • - The findings suggest fatal events related to alemtuzumab are more common than previously reported, emphasizing the need for increased awareness and monitoring during and after treatment.
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Neutropenia with fatal outcome in a multiple sclerosis patient 23 days after alemtuzumab infusion.

Mult Scler Relat Disord

July 2018

1st Department of Internal Medicine, National and Kapodistrian University of Athens, University General Hospital "LAIKO", Greece. Electronic address:

A 47-year-old Caucasian female with relapsing- remitting Multiple Sclerosis, received alemtuzumab after a serious relapse. She had ceased receiving any treatment during the previous year. 23 days after alemtuzumab infusion she developed severe early neutropenia, which resulted in septic shock by Staphylococcus aureus and death.

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