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Published on: November 5, 2019
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.
Abstract:
Primary joint infection caused by the Gram-negative bacteria Neisseria meningitidis is rare. Normally, joint involvement comes secondary to meningitis or severe sepsis caused by this agent. When primary arthritis is seen, monoarthritis is the most common presentation. A meningococcal polyarthritis is described in less than 10 case reports according to current literature. This case report aims to briefly review this rare clinical event in an adult woman with no previous history of rheumatological disease. Early diagnosis of polyarthritis caused by meningococcal bacteria usually present a good prognosis when properly treated.
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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