An atypical pneumococcal arthritis
Bone and joint infections due to Streptococcus pneumoniae usually occur in patients who are immunocompromised, and involve one site. The unique case of a 49-year-old immunocompetent man, with an unremarkable medical history, with septicaemia and polyarticular septic arthritis involving the shoulder...
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| Veröffentlicht in: | BMJ case reports 2010-10, Vol.2010 (oct18 1), p.bcr0120102638-bcr0120102638 |
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| container_issue | oct18 1 |
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| container_title | BMJ case reports |
| container_volume | 2010 |
| creator | Rossi, Pascal Granel, Brigitte Mouly, Philippe Demoux, Anne-Laurence Le Mée, Fanny Bernard, Fanny Faugère, Gerard Francès, Yves |
| description | Bone and joint infections due to Streptococcus pneumoniae usually occur in patients who are immunocompromised, and involve one site. The unique case of a 49-year-old immunocompetent man, with an unremarkable medical history, with septicaemia and polyarticular septic arthritis involving the shoulder and knee and with cervical spondylodiscitis due to S pneumoniae, is described. In this case, S pneumoniae probably originated from the gingiva, which is commonly colonised in children and adults. S pneumoniae should be considered routinely when facing bone and joint infections, and multiple locations should be carefully sought owing to the possible lack of symptoms. |
| doi_str_mv | 10.1136/bcr.01.2010.2638 |
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The unique case of a 49-year-old immunocompetent man, with an unremarkable medical history, with septicaemia and polyarticular septic arthritis involving the shoulder and knee and with cervical spondylodiscitis due to S pneumoniae, is described. In this case, S pneumoniae probably originated from the gingiva, which is commonly colonised in children and adults. 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The unique case of a 49-year-old immunocompetent man, with an unremarkable medical history, with septicaemia and polyarticular septic arthritis involving the shoulder and knee and with cervical spondylodiscitis due to S pneumoniae, is described. In this case, S pneumoniae probably originated from the gingiva, which is commonly colonised in children and adults. S pneumoniae should be considered routinely when facing bone and joint infections, and multiple locations should be carefully sought owing to the possible lack of symptoms.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>22790283</pmid><doi>10.1136/bcr.01.2010.2638</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Arthritis Arthritis, Infectious - diagnosis Arthritis, Infectious - immunology Cervical Vertebrae - pathology Diagnosis, Differential Discitis - diagnosis Europe (West) Gingiva - microbiology Gingivitis - diagnosis Gingivitis - immunology Humans Immunocompetence - immunology Intervertebral Disc - pathology Knee Joint - pathology Magnetic Resonance Imaging Male Mandible - pathology Middle Aged Patients Pneumococcal Infections - diagnosis Pneumococcal Infections - immunology Scintigraphy Sepsis - diagnosis Sepsis - immunology Shoulder Joint - pathology Streptococcus infections Tomography Unusual Presentation of More Common Disease/Injury White |
| title | An atypical pneumococcal arthritis |
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