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 |
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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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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. 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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.</description><subject>Arthritis, Infectious - complications</subject><subject>Arthritis, Infectious - microbiology</subject><subject>Bacteremia - complications</subject><subject>Bacteremia - microbiology</subject><subject>Child, Preschool</subject><subject>Group A β-hemolytic Streptococcus</subject><subject>Humans</subject><subject>Immunocompetence</subject><subject>Infectious Disease</subject><subject>Male</subject><subject>Pharyngitis - complications</subject><subject>Pharyngitis - microbiology</subject><subject>Pulmonary/Respiratory</subject><subject>Salmonella enterica</subject><subject>Salmonella Infections - complications</subject><subject>Salmonella Infections - microbiology</subject><subject>Septic arthritis</subject><subject>Streptococcal Infections - complications</subject><subject>Streptococcal Infections - microbiology</subject><subject>Streptococcus pyogenes - isolation & purification</subject><issn>1201-9712</issn><issn>1878-3511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2L1TAUhosozjj6B1xIVu5aT9I0HyCCDH7BoIvRdUjT1Ka2SU1S5f57U-4FwYWrnMDzvnCeU1XPMTQYMHs1N252Q0MARAOsASAPqmssuKjbDuOHZSaAa8kxuaqepDQDAGVMPK6uCgRcgryuwufg63zapuAGvaB7vazB22XRKNktO4N0zFN02SXkPNIeuXXdfTBh3Wy2PiMzuWVAv12ekEbbpOPJf7elKeVYCgpoTPk5P1qTXfBPq0ejXpJ9dnlvqm_v3329_Vjfffnw6fbtXW1aJkgtRjoCHyTt8GglI7jHQEVLxci6gZuek1YPIyWaG0ph1LKXZOglo1zKjo-0valennu3GH7uNmW1umSOxbwNe1KMcc47wQpIzqCJIaVoR7VFt5Y1FAZ1aFazOjSrQ7MCpormEnpxad_71Q5_IxevBXh9BmzZ8ZezUSXjrDd2cLGIUENw_-9_80_cLM67YvKHPdk0hz36Yk9hlYgCdX8c-rgzCMCt6Gj7B3jBpP0</recordid><startdate>200901</startdate><enddate>200901</enddate><creator>Pezone, Ilaria</creator><creator>Penna, Maria Rosa Della</creator><creator>Flamini, Stefano</creator><creator>Nigro, Giovanni</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200901</creationdate><title>Non-typhoidal Salmonella septic arthritis in an immunocompetent child with a pharyngeal streptococcal infection</title><author>Pezone, Ilaria ; 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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.</abstract><cop>Canada</cop><pub>Elsevier Ltd</pub><pmid>18707909</pmid><doi>10.1016/j.ijid.2008.06.002</doi><oa>free_for_read</oa></addata></record> |
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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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