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Updated: Feb 10, 2026
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In vivo Macrophage Imaging Using MR Targeted Contrast Agent for Longitudinal Evaluation of Septic Arthritis
Published on: October 20, 2013
9.8K
Primary meningococcal septic arthritis with multiple native joint involvement.
Connor Boyle1,2, Thomas Howard2, David Griffith3
1Division of Health Sciences, University of Edinburgh, Edinburgh, UK.
BMJ Case Reports
|May 10, 2018
Summary
A rare case of adult meningococcal septic arthritis occurred in an 18-year-old woman. Prompt antibiotic treatment and drainage led to full recovery without long-term complications.
Area of Science:
- Infectious Diseases
- Rheumatology
- Microbiology
Background:
- Primary septic arthritis is typically caused by bacteria other than Neisseria meningitidis.
- Neisseria meningitidis is a common cause of meningitis and sepsis, but rarely causes septic arthritis in adults.
Observation:
- An 18-year-old woman presented with acute, painful swelling in her ankle, hip, and wrist.
- Microbiological analysis of ankle joint fluid identified Neisseria meningitidis.
- The patient had no prior meningitis symptoms or known exposure to the disease.
Findings:
- The patient received intravenous antibiotics and surgical drainage for the affected joints.
- All symptoms resolved, inflammatory markers normalized, and no long-term joint damage occurred.
- This case highlights the uncommon presentation of primary meningococcal septic arthritis in adults.
Implications:
- Early diagnosis and treatment are crucial for favorable outcomes in septic arthritis.
- Neisseria meningitidis should be considered in the differential diagnosis of septic arthritis, even in the absence of meningitis symptoms.
- This case underscores the importance of considering rare bacterial causes of septic arthritis in adults.
Keywords:
bone and joint infectionsinfectionsmusculoskeletal and joint disordersorthopaedic and trauma surgeryMore Related Videos
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