Septic Arthritis Due to Meningococcus. Report of an Atypical Case Presentation

de Dios, Juan Ramón; de Goikoetxea, Ana Julia López; Carlos Vesga, Juan

doi:10.1016/S2173-5743(08)70169-2

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Hospital de Txagorritxu. José de Atxotegui, s/n. 01009 Álava. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Artritis séptica por meningococo. 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The infection was resolved satisfactorily with parentheral ceftriaxone during 2 weeks and oral ciprofloxacin during 1 month." ] "es" => array:1 [ "resumen" => "Presentamos el caso de un paciente de 73 años con monoartritis séptica de rodilla izquierda por Neisseria meningitidis serogrupo B, sin traumatismo previo, fiebre, cefalea ni síntomas meníngeos. El paciente no presentaba factores de riesgo de infección meningocócica. El proceso se resolvió satisfactoriamente y sin secuelas con ceftriaxona vía parenteral durante 2 semanas y, posteriormente, ciprofloxacino vía oral durante un mes." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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We have observed the case of a 73-years-old man with a septic monoarthritis affecting the left knee due to Neisseria meningitidis serogroup B, without previous traumatism, fever, headache, or meningeal symptoms. The patient didn't present risk factors of meningococcal infection. The infection was resolved satisfactorily with parentheral ceftriaxone during 2 weeks and oral ciprofloxacin during 1 month.

Key words:

Neisseria meningitidis

Septic artritis

Meningococcus

Presentamos el caso de un paciente de 73 años con monoartritis séptica de rodilla izquierda por Neisseria meningitidis serogrupo B, sin traumatismo previo, fiebre, cefalea ni síntomas meníngeos. El paciente no presentaba factores de riesgo de infección meningocócica. El proceso se resolvió satisfactoriamente y sin secuelas con ceftriaxona vía parenteral durante 2 semanas y, posteriormente, ciprofloxacino vía oral durante un mes.

Palabras clave:

Neisseria meningitidis

Artritis séptica

Meningococo

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References

[1.]

U.B. Schaad.

Arthritis in disease due to Neisseria meningitidis.

Rev Infect Dis, 2 (1980), pp. 880-888

Medline

[2.]

M. Wells.

Primary meningococcal arthtritis: Case report and review of the literature.

Military Medicine, 162 (1997), pp. 769-772

Medline

[3.]

A. Hernández, A. Echániz, M. Freire, A. Atanes, J. Graña, M.J. Méndez, et al.

Artritis meningocócica primaria: dos casos en adultos.

Enferm Infecc Microbiol Clin, 5 (1999), pp. 249-250

[4.]

M. Dillon, C. Nourse, F. Dowling, P. Deasy, K. Butler.

Primary meningococcal arthritis.

Pediatr Infect Dis J, 16 (1997), pp. 331-332

Medline

[5.]

M. Rottem, E. Shiloach, M. Schlezinger.

Properdin deficiency: Rare presentation with meningococcal osteomyelitis and arthritis.

J Allergy Clin Immunol, 97 (1996), pp. 402

[6.]

Almeida L, Franco C, Pérez LF, Santos JI. Enfermedad por meningococo, Neisseria meningitidis: perspectiva epidemiológica, clínica y preventiva. Salud Pública Méx. v. 46, n 5. Cuernavaca sep/oct. 2004.

[7.]

Jurado R, Agudelo-R CA. Artritis por Neisseria. Tratado de reumatología. Volumen II, cap 8-2. Madrid: Arán. p. 1284.

[8.]

M.P. Jarret, S. Mosses, P. Barland, M.H. Miller.

Articular complications of meningococcal meningitidis.

Arch Intern Med, 140 (1980), pp. 1665-1666

Medline

[9.]

N.K. Ferrando, Y.K. Cupta, N.K. Kothari, M.P. Weinstein.

Purulent meningococcal arthritis in an adult.

J Med Soc, 77 (1980), pp. 590

[10.]