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Primary meningococcal arthritis and endogenous endophthalmitis: a case report

Y K Cheng1, S W Leo, C J Edwards

  • 1Department of Rheumatology, Allergy & Immunology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433. yew_kuang_cheng@ttsh.com.sg

Annals of the Academy of Medicine, Singapore
|November 25, 2003
PubMed
Abstract

Insights

Meningococcal infection can cause arthritis and endophthalmitis, potentially leading to permanent damage if untreated. Early recognition and treatment are crucial for managing these severe complications.

Area of Science:

  • Infectious Diseases
  • Ophthalmology
  • Rheumatology

Background:

  • Meningococcal infections can lead to arthritis and endophthalmitis, even without meningitis or meningococcaemia.
  • Primary meningococcal arthritis (PMA) and endophthalmitis require prompt diagnosis to prevent permanent joint and eye damage.

Observation:

  • A 54-year-old female presented with arthritis and a painful red eye after diarrhea.
  • Initial diagnosis was reactive arthritis with uveitis, but Neisseria meningitides was later identified.

Findings:

  • The patient received antibiotic treatment.
  • Complete resolution of arthritis was achieved, but vision in the affected eye deteriorated to light perception only.

Implications:

  • PMA and meningococcal endophthalmitis present confusingly and should be considered in differential diagnoses.
  • This case highlights the importance of considering meningococcal infection in patients with arthritis and endophthalmitis, even with atypical presentations.

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