Joint Infections Due to Streptococcus agalactiae in Non Immunocompromised Adults: Presentation of Two Cases
Infección articular por Streptococcus agalactiae en adultos inmunocompetentes: presentación de dos casos
Èlia Valls-Pascual
, Juan José Alegre-Sancho, José Ivorra-Cortés, José Andrés Román-Ivorra, Nagore Fernández-Llanio-Comella, Inmaculada Chalmeta-Verdejo, Sonia Muñoz-Gil, José Miguel Senabre-Gallego
Corresponding author
elialtea@hotmail.com
Correspondence. Servicio de Reumatología. Hospital Universitario Dr. Peset. Gaspar Aguilar, 90. 46017 Valencia. España.
Correspondence. Servicio de Reumatología. Hospital Universitario Dr. Peset. Gaspar Aguilar, 90. 46017 Valencia. España.
Servicio de Reumatología, Hospital Universitario Dr Peset, Valencia, Spain
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Servicio de Reumatología. Hospital Universitario Dr. Peset. Gaspar Aguilar, 90. 46017 Valencia. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infección articular por <span class="elsevierStyleItalic">Streptococcus agalactiae</span> en adultos inmunocompetentes: presentación de dos casos" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-04-17" "fechaAceptado" => "2007-07-20" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec111876" "palabras" => array:3 [ 0 => "Joint Infections" 1 => "<span class="elsevierStyleItalic">Streptococcus agalactiae</span>" 2 => "Immunocompromised adults" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec111877" "palabras" => array:3 [ 0 => "Infección articular" 1 => "Streptococcus agalactiae" 2 => "Adultos inmunocompetentes" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Streptococcus agalactiae (S agalactiae) is a germ habitually associated with infections in neonates and women during the pregnancy and the immediate puerperiumum. <span class="elsevierStyleItalic">S agalactiae</span> has also been related with bacteriemias, endocarditis and bone, joint, skin and soft tissues infections in adults with concomitant diseases and even in immunocompetent patients. In the last years more than 70 cases of septic arthritis in adults due to this germ have been communicated. We present 2 cases of axial and peripheral joint infection due to <span class="elsevierStyleItalic">S agalactiae</span>, comparing finds, treatment and evolution with the cases published until April 2008.</p>" ] "es" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Streptococcus agalactiae</span> (<span class="elsevierStyleItalic">S. agalactiae</span>) es un germen habitualmente asociado a infecciones en neonatos y en mujeres durante el embarazo y el puerperio inmediato. <span class="elsevierStyleItalic">S. agalactiae</span> también se ha relacionado con bacteriemias, endocarditis e infecciones osteoarticulares, de piel y tejidos blandos en adultos con enfermedades concomitantes e, incluso, en pacientes inmunocompetentes. En los últimos años se han comunicado más de 70 casos de artritis séptica por este germen en adultos.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se presentan dos casos de infección articular, axial y periférica, por <span class="elsevierStyleItalic">S. agalactiae</span>, comparando los hallazgos, el tratamiento y la evolución con los casos publicados hasta abril de 2008.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Varón con fiebre, dolor y limitación funcional del hombro derecho" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.M. Ramos" 1 => "R.M. Blázquez" 2 => "C. Ramírez" 3 => "S. 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Dronda" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "2005" "volumen" => "23" "paginaInicial" => "71" "paginaFinal" => "75" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15743577" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Group B streptococcal spondylodiscitis in adults: 2 case reports" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Narváez" 1 => "C. Pérez-Vega" 2 => "F.J. Castro-Bohórquez" 3 => "J. Vilaseca-Momplet" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jbspin.2003.05.001" "Revista" => array:6 [ "tituloSerie" => "Joint Bone Spine" "fecha" => "2004" "volumen" => "71" "paginaInicial" => "338" "paginaFinal" => "343" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15288862" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Group B streptococcal sacroiliitis: case report review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H. Corominas" 1 => "P. Domingo" 2 => "J.M. Llobet" 3 => "F. Caballero" 4 => "C. Díaz" 5 => "G. 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