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Streptococcus pneumoniae septic arthritis in adults
1Department of Infectious Diseases, Auckland Hospital, New Zealand.
Scandinavian Journal of Infectious Diseases
|October 31, 2000
Summary
Streptococcus pneumoniae septic arthritis is rare but serious, often affecting older adults with existing joint issues. Prompt treatment with antibiotics and joint lavage can lead to recovery.
Area of Science:
- Infectious Diseases
- Rheumatology
- Microbiology
Background:
- Septic arthritis is a severe joint infection.
- Streptococcus pneumoniae is an uncommon cause of septic arthritis.
- Understanding S. pneumoniae septic arthritis is crucial for effective management.
Purpose of the Study:
- To review clinical features and outcomes of Streptococcus pneumoniae septic arthritis in adults.
- To identify risk factors and common presentations.
- To evaluate treatment efficacy.
Main Methods:
- Retrospective review of 14 adult patients with S. pneumoniae septic arthritis.
- Analysis of patient demographics, clinical characteristics, and treatment protocols.
- Evaluation of treatment outcomes, including mortality and cure rates.
Main Results:
- Common features included advanced age, pre-existing joint disease, large joint involvement, polyarthritis, and concurrent meningitis/pneumonia.
- Mortality occurred in three patients, including those with meningitis and Down's syndrome with sleep apnea.
- Eleven patients achieved cure with intravenous benzyl penicillin and joint lavage over at least 19 days.
Conclusions:
- Streptococcus pneumoniae septic arthritis presents with specific clinical patterns in adults.
- Early diagnosis and aggressive treatment, including antibiotics and joint lavage, are vital for favorable outcomes.
- Associated conditions like meningitis and pneumonia significantly impact prognosis.