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[Septic pseudopodagra by Streptococcus agalactiae]

Elena Riera1, Lourdes Mateo, Meritxell Sallés

  • 1Sección de Reumatología. Hospital Universitari Germans Trias i Pujol. Badalona. Barcelona. España.

Reumatologia Clinica
|July 29, 2011
PubMed

Insights

Septic pseudopodagra, a rare cause of first metatarsophalangeal arthritis, can arise from Streptococcus agalactiae. Prompt antibiotic treatment led to a favorable outcome without functional sequelae in a patient with chronic liver disease.

Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Podiatry

Context:

  • Pseudopodagra is an uncommon cause of arthritis affecting the first metatarsophalangeal joint.
  • Infectious etiologies must always be considered and ruled out in cases of pseudopodagra.
  • Chronic hepatopathy can be associated with atypical presentations of joint infections.

Purpose:

  • To report a rare case of septic pseudopodagra caused by Streptococcus agalactiae.
  • To highlight the diagnostic challenges and management of infectious pseudopodagra in a patient with chronic liver disease.
  • To review the literature on pseudopodagra, focusing on infectious causes.

Summary:

  • A case of septic pseudopodagra due to Streptococcus agalactiae in a patient with chronic hepatopathy is presented.
  • The infection presented with indolent evolution, leading to a diagnostic delay.
  • Successful antibiotic treatment resulted in a favorable outcome with no functional sequelae.

Impact:

  • This case underscores the importance of considering and excluding infectious causes in pseudopodagra, even with atypical presentations.
  • Early diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes in septic pseudopodagra.
  • The review of infectious pseudopodagra cases contributes to a better understanding of this rare condition.

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