Septic polyarthritis caused by Streptococcus pneumoniae: primary pneumococcal pneumonia as a risk factor in older patients? A case report
Septic polyarthritis associated to Streptococcus pneumoniae pneumonia is rarely seen and deserves description. In the present report, the case of a 77-year-old man with a 3-day clinical history of arthritis lacking anamnesis of trauma is discussed. Physical examination showed inflammatory signs and...
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| Veröffentlicht in: | BMJ case reports 2009, Vol.2009 (dec03 1), p.bcr0220091604-bcr0220091604 |
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| container_issue | dec03 1 |
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| creator | Habelt, Susanne Schwaller, Adrian Hollinger, Albert Mica, Ladislav |
| description | Septic polyarthritis associated to Streptococcus pneumoniae pneumonia is rarely seen and deserves description. In the present report, the case of a 77-year-old man with a 3-day clinical history of arthritis lacking anamnesis of trauma is discussed. Physical examination showed inflammatory signs and elevated inflammatory parameters in blood samples. The patient experienced pneumonia with blood cultures positive for S pneumoniae simultaneously. Arthrotomy revealed putride arthritis with S pneumoniae in culture. Therapy was initiated with intravenous benzylpenicillin. Surgical drainage and frequent retesting managed the local infection. Antibiotics had to be changed according to the specific sensitivity to ceftriaxone. Antimicrobial therapy was given intravenously for a total of 6 weeks. On follow-up no inflammatory signs were observed after 4 and 9 months. A bistrategical approach with surgical drainage and frequent retesting and antimicrobial chemotherapy may lead to a good result in the treatment of pneumococcal septic arthritis. |
| doi_str_mv | 10.1136/bcr.02.2009.1604 |
| format | Article |
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Antibiotics had to be changed according to the specific sensitivity to ceftriaxone. Antimicrobial therapy was given intravenously for a total of 6 weeks. On follow-up no inflammatory signs were observed after 4 and 9 months. 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A bistrategical approach with surgical drainage and frequent retesting and antimicrobial chemotherapy may lead to a good result in the treatment of pneumococcal septic arthritis.</description><subject>Abdomen</subject><subject>Alcoholism</subject><subject>Antibiotics</subject><subject>Bacteria</subject><subject>Case reports</subject><subject>Chemotherapy</subject><subject>Europe (West)</subject><subject>Gram-positive bacteria</subject><subject>HIV</subject><subject>Hospitals</subject><subject>Human immunodeficiency virus</subject><subject>Immunology</subject><subject>Male</subject><subject>Metastasis</subject><subject>Patients</subject><subject>Penicillin</subject><subject>Pneumonia</subject><subject>Prostate</subject><subject>Rare Disease</subject><subject>Rheumatoid arthritis</subject><subject>Streptococcus infections</subject><subject>White</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqFkU1LHTEUhoNUVKz7riTgootyb_M1N5MuWkT6BYILFboL-ay5zkymSaZwf0L_dTPcq7VuzCbh5DnvOS8vAG8wWmJMV--1SUtElgQhscQrxPbAEeYNX3CBfrx68j4EJzmvUT0Us5bRA3BICGaIIXoE_ly7sQQDx9htVCp3KZSQoVFTdhbqDbwuqQLRRGOmDMfBTX0cgnIf4JhCr9JmV5sB1f0DoMpQwRTyPfTKlJhgGGDsrEtwVCW4oeRP8LwOyg7WCTGV12Dfqy67k919DG6_fL65-La4vPr6_eL8cqEp4WzhV4p5wa3RxnJhaNNY2zjvBfG4wRoLy73SBGnOtdPEmoYTjVqnWyyMtYweg49b3XHSvbOmrpJUJ3d2ZFRB_v8zhDv5M_6WFBHOWVMF3u4EUvw1uVxkH7JxXacGF6csBWo5FZSuKnn2jFzHKQ3VncS8JYLNjiqFtpRJMefk_OMuGMk5aVmTlojIOWk5J11bTp96eGx4yLUC77aA7tcvy_0FJx-2jQ</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Habelt, Susanne</creator><creator>Schwaller, Adrian</creator><creator>Hollinger, Albert</creator><creator>Mica, Ladislav</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2009</creationdate><title>Septic polyarthritis caused by Streptococcus pneumoniae: primary pneumococcal pneumonia as a risk factor in older patients? 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A case report</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2009</date><risdate>2009</risdate><volume>2009</volume><issue>dec03 1</issue><spage>bcr0220091604</spage><epage>bcr0220091604</epage><pages>bcr0220091604-bcr0220091604</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Septic polyarthritis associated to Streptococcus pneumoniae pneumonia is rarely seen and deserves description. In the present report, the case of a 77-year-old man with a 3-day clinical history of arthritis lacking anamnesis of trauma is discussed. Physical examination showed inflammatory signs and elevated inflammatory parameters in blood samples. The patient experienced pneumonia with blood cultures positive for S pneumoniae simultaneously. Arthrotomy revealed putride arthritis with S pneumoniae in culture. Therapy was initiated with intravenous benzylpenicillin. Surgical drainage and frequent retesting managed the local infection. 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| subjects | Abdomen Alcoholism Antibiotics Bacteria Case reports Chemotherapy Europe (West) Gram-positive bacteria HIV Hospitals Human immunodeficiency virus Immunology Male Metastasis Patients Penicillin Pneumonia Prostate Rare Disease Rheumatoid arthritis Streptococcus infections White |
| title | Septic polyarthritis caused by Streptococcus pneumoniae: primary pneumococcal pneumonia as a risk factor in older patients? A case report |
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