Non-typhoidal Salmonella septic arthritis in an immunocompetent child with a pharyngeal streptococcal infection

Summary We report the case of an immunocompetent child who showed monoarticular arthritis and fever, preceded by pharyngitis and arthralgias. Because group A β-hemolytic Streptococcus had been detected in the pharyngeal swab, erythromycin was given on admission. However, based on ultrasound examinat...

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Veröffentlicht in:International journal of infectious diseases 2009-01, Vol.13 (1), p.e35-e36
Hauptverfasser: Pezone, Ilaria, Penna, Maria Rosa Della, Flamini, Stefano, Nigro, Giovanni
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container_title International journal of infectious diseases
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creator Pezone, Ilaria
Penna, Maria Rosa Della
Flamini, Stefano
Nigro, Giovanni
description Summary We report the case of an immunocompetent child who showed monoarticular arthritis and fever, preceded by pharyngitis and arthralgias. Because group A β-hemolytic Streptococcus had been detected in the pharyngeal swab, erythromycin was given on admission. However, based on ultrasound examination, therapy with ceftriaxone and joint fluid drainage were promptly performed, and a rapid and full recovery followed. Meanwhile, Salmonella enterica infection was revealed in blood and joint fluid. Our case suggests that septic arthritis caused by a non-typhoidal Salmonella infection may occur without gastrointestinal manifestations and concomitantly with a pharyngeal streptococcal infection.
doi_str_mv 10.1016/j.ijid.2008.06.002
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subjects Arthritis, Infectious - complications
Arthritis, Infectious - microbiology
Bacteremia - complications
Bacteremia - microbiology
Child, Preschool
Group A β-hemolytic Streptococcus
Humans
Immunocompetence
Infectious Disease
Male
Pharyngitis - complications
Pharyngitis - microbiology
Pulmonary/Respiratory
Salmonella enterica
Salmonella Infections - complications
Salmonella Infections - microbiology
Septic arthritis
Streptococcal Infections - complications
Streptococcal Infections - microbiology
Streptococcus pyogenes - isolation & purification
title Non-typhoidal Salmonella septic arthritis in an immunocompetent child with a pharyngeal streptococcal infection
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