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Septic arthritis caused by Legionella dumoffii in a patient with systemic lupus erythematosus-like disease
M Flendrie1, M Jeurissen, M Franssen
1Department of Rheumatology, Sint Maartenskliniek Nijmegen, Hengstdal 3, P.O. Box 9011, 6500 GM, Nijmegen, Netherlands. m.flendrie@flen.nl
Abstract:
We describe a patient with systemic lupus erythematosus (SLE)-like disease on immunosuppressive treatment who developed septic arthritis of the knee involving Legionella dumoffii. Cultures initially remained negative. A broad-range 16S PCR using synovial fluid revealed L. dumoffii rRNA genes, a finding that was subsequently confirmed by positive Legionella culture results.
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