Primary Meningococcal Septic Arthritis of the Ankle Joint: A Case Report

Gee, Christopher; Tandon, Tarang; Avasthi, Adish; Jerwood, Susie; Rao, Biyyam; Cavanagh, S. P.

doi:10.1053/j.jfas.2013.12.019

Cited by 13 publications

(4 citation statements)

References 14 publications

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“…Septic arthritis by meningococcus is uncommon. According to published records, joint disease by meningococcus would occur in up to 10% of meningococcal diseases and can manifest itself in three types according to its presentation [12]. The first type presents at the beginning with positive cultures in synovial fluid.…”

Section: Discussionmentioning

confidence: 99%

Neisseira meningitidis Serogroup W causing primary meningococcal septic arthritis in a toddler and review of the literature

2020

JMCCR

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Since 2009, there has been a serious increase in the number of meningococcal infections in Europe caused by the serotype W meningococcus (MenW:cc11). Invasive meningococcal disease is typically known to cause severe sepsis or meningitiswith high overall mortality rates of 10% despite adequate antimicrobial treatment. Focal infections such as arthritis incidentally occur as a complication of systemic disease. Method We describe a rare case of primary meningococcal W135 arthritis in a 2-year-old patient. Results Arthrocentesis of the right Ankle while patient was under anesthesia, yielded grossly purulent fluid, so we made arthrotomy and drainage. The culture from synovial fluid revealed N. meningitidis.The status of the patient improved after surgical drainage and intravenous antibiotic therapy. She recovered completely after 1 month. Discussion.Atypical clinical presentation is associated with higher case fatality rates and can lead to misdiagnoses.an unusual presentation of invasive meningococcal infection and the early identification of the bacteria, combined with the correct treatment, prevent the complications and even death.

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Section: Discussionmentioning

confidence: 99%

Neisseira meningitidis Serogroup W causing primary meningococcal septic arthritis in a toddler and review of the literature

2020

JMCCR

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“…PMSA is most often monoarthritic, affecting either the knee or ankle joint 16–20. It occurs in <3% of meningococcal infections.…”

Section: Discussionmentioning

confidence: 99%

Child with serogroup W135 primary meningococcal septic arthritis

Fidder¹,

Hartog

Faber

2019

BMJ Case Rep

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Over the last decade, there has been a concerning increase in the number of invasive meningococcal serotype W infections in Europe. Although sepsis and meningitis are the most feared complications, focal complications of systemic disease such as pneumonia, pericarditis and arthritis can also occur. We present a rare case of isolated meningococcal W135 arthritis of the hip without invasive meningococcal disease in a 6-year-old patient.

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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%