Primary meningococcal polyarthritis in an adult woman

José Celso Giordan Cavalcanti Sarinho1, Marília Soares E Silva Arcadipane1, Graziela Tavares Miola Menezes1

  • 1Department of Internal Medicine, Faculty of Medicine of Jundiaí, 13202-550 Jundiaí, SP, Brazil.

Insights

Primary joint infection by Neisseria meningitidis is rare, usually affecting one joint. This case report reviews a rare instance of meningococcal polyarthritis in an adult, highlighting the importance of early diagnosis for a good prognosis.

Area of Science:

  • Infectious Diseases
  • Rheumatology
  • Microbiology

Background:

  • Primary joint infection by Neisseria meningitidis is uncommon.
  • Meningococcal arthritis typically presents as monoarthritis, often secondary to meningitis or sepsis.
  • Polyarticular involvement is exceptionally rare, with fewer than 10 reported cases.

Purpose of the Study:

  • To report a rare case of primary meningococcal polyarthritis in an adult woman.
  • To review the clinical presentation and management of this rare condition.
  • To emphasize the importance of early diagnosis and treatment for favorable outcomes.

Main Methods:

  • Case report presentation.
  • Literature review of meningococcal arthritis and polyarthritis.
  • Clinical and microbiological assessment of the patient.

Main Results:

  • The patient presented with polyarthritis without preceding meningitis or sepsis.
  • Neisseria meningitidis was identified as the causative agent of the joint infection.
  • The patient received appropriate antibiotic treatment for meningococcal infection.

Conclusions:

  • Primary meningococcal polyarthritis is a rare but treatable condition.
  • Prompt diagnosis and treatment are crucial for managing meningococcal joint infections.
  • This case underscores the need to consider Neisseria meningitidis in the differential diagnosis of polyarthritis, even without typical signs of systemic infection.

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