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Primary meningococcal arthritis: case report and review
E J Giamarellos-Bourboulis1, P Grecka, G L Petrikkos
14th Department of Internal Medicine, University of Athens, Medical School, Greece. giamarel@internet.gr
Clinical and Experimental Rheumatology
|August 15, 2002
Abstract:
A rare case of primary meningococcal arthritis of a 16-year-old female patient is described. Arthritis involved her left knee and Neisseria meningitidis was isolated from blood and from the synovial fluid. Successful treatment was achieved by the intravenous administration of penicillin G.
Insights
A rare case of primary meningococcal arthritis in a teen was successfully treated. Penicillin G effectively resolved the infection caused by Neisseria meningitidis in the knee joint.
Area of Science:
- Pediatric Rheumatology
- Infectious Diseases
Background:
- Primary meningococcal arthritis is an uncommon manifestation of Neisseria meningitidis infection.
- Early diagnosis and treatment are crucial for favorable outcomes.
Observation:
- A 16-year-old female presented with arthritis exclusively affecting her left knee.
- Neisseria meningitidis was identified in both blood and synovial fluid samples.
Findings:
- The patient was diagnosed with primary meningococcal arthritis.
- Cultures confirmed Neisseria meningitidis as the causative agent.
Implications:
- This case highlights the importance of considering meningococcal infection in cases of septic arthritis, even without systemic signs.
- Intravenous penicillin G demonstrated efficacy in treating this rare condition.