Primary meningococcal arthritis of sacroiliac joint: A rare case report

Sahu, Swagatika; Mohanty, Indrani; Narasimham, M. V. V. L.; Pasupalak, S; Parida, Banojini

doi:10.4103/0255-0857.108743

Cited by 8 publications

(22 citation statements)

References 5 publications

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“…Case reports covered the pediatric (n = 5) [23,25,46,48,52], adolescent (n = 3) [24,31,37], adult (n = 2) [44,53] and neonatal (n = 1) [33] populations with ages ranging between 14 days and 21 years (Table 2).…”

Section: Age-and Serogroup-specific Distributionmentioning

confidence: 99%

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A Comprehensive Review of Meningococcal Disease Burden in India

et al. 2020

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Introduction: Meningococcal disease caused by Neisseria meningitidis has a high case fatality rate. Of 12 distinct serogroups, A, B, C, W-135 (W) and Y cause the majority of infections. The meningococcal disease burden and epidemiology in India are not reliably known. Hence, we performed a narrative review with a systematically conducted search to summarize information on meningococcal disease burden and epidemiology and vaccination recommendations for meningococcal disease in India.

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Section: Age-and Serogroup-specific Distributionmentioning

confidence: 99%

“…Serogroup data were documented in five case reports [24,25,33,48,52] among which serogroup A, A-D (specific serogroup was not reported in the study) (n = 2) [24,48] and the less common serogroups B and Y (n = 3) [25,33,52] were reported.…”

Section: Age-and Serogroup-specific Distributionmentioning

confidence: 99%

A Comprehensive Review of Meningococcal Disease Burden in India

et al. 2020

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“…Desde então, mais 10 casos foram reportados: nove casos em revisão dos casos de artrite séptica num hospital central em Buenos Aires, Argentina, entre 2007 e 2010 7 e um caso de artrite sacro-ilíaca na Índia em 2013. 8 A localização articular ocorre pela invasão direta bacteriana da membrana sinovial pela sua porção vascular. [1][2] Schaad et al caracterizou a artrite primária meningocóci-ca, com predomínio dos sintomas articulares na ausência sintomas aparentes de doença meningocócica.…”

Section: Discussionunclassified

“…Verificou-se atingimento monoarticular característico, com localização na articulação coxofemoral esquerda, que ocorre numa minoria (17%). [4][5][6][7][8][9] O diagnóstico etiológico exige o isolamento do meningococo em cultura do líquido sinovial (positivo 90% dos casos). 3 Estes resultados podem ser secundados pelo isolamento em hemocultura.…”

Section: Discussionunclassified

Artrite Séptica Meningocócica Primária em Lactente de Dois Meses

et al. 2015

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(1):117-119 RESUMOA artrite meningocócica primária, isolada de contexto de sépsis meningocócica, é um fenómeno raro, em especial na idade pediátrica. O atingimento monoarticular é ainda menos frequente nas infecções a Neisseria spp. Apresentamos o caso de lactente de 2 meses de idade, sexo feminino, caucasiana, apresentando quadro de febre elevada com 4 dias de evolução e choro durante a manipulação do membro inferior esquerdo na muda de fralda. Sem sépsis clínica ou analiticamente. Sem vacinação anti-meningocócica prévia. A ecografia articular revelou presença de líquido intra-articular. O exame bacteriológico do drenado purulento por artrotomia foi positivo para Neisseira meningitidis. Apresentou boa resposta à antibioterapia e evolução favorável após a alta. A artrite séptica meningocócica, ainda que rara, constitui uma urgência pediátrica, e é diagnóstico diferencial perante uma criança com quadro febril e queixas articulares. Palavras-chave: Artrite Infecciosa; Infecções Meningocócicas; Lactente; Neisseria meningitidis. ABSTRACTMeningococcal septic arthritis, ocurring without signs of sepsis, is rare, including at pediatric age. The confinement of infection to a single articulation (monoarticular form) is even rarer in infections by Neisseria spp. We discuss the case of a two month-old caucasian girl, presenting with fever and persistent crying during nappy change. Absence of clinical sepsis was notable. She had had no previous anti-meningococcal immunizations. The ultrasound of the left hip revealed the presence of intra-articular fluid. Culture of the purulent sample after drainage by arthrotomy produced Neisseria meningitidis. She had a good clinical response to the antibiotics. Follow-up showed no sequels. Albeit a rare entity, primary meningococcal arthritis is a mandatory differential diagnosis concerning a feverish child with articular complaints.

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“…Only 34 cases of primary meningococcal arthritis were reported in the literature from 1980 to 2002 [12] and only sporadically thereafter. For the past 5 years, we found 8 reports of primary meningococcal arthritis in the shoulder, pelvis, sacrolic joint, knee, elbow, ankle, and polyarticular joints, and 2 cases, among those, were sterile or allergic [13][14][15][16][17][18][19][20]. To our knowledge, this is the first report of primary meningococcal arthritis in Japan.…”

Section: Discussionmentioning

confidence: 99%