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Meningococcal arthritis.

E Bhettay, C Holmes, S Fisher

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |January 5, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Meningococcal infection (MI) and its complication, meningococcal arthritis (MA), were most common in the Coloured population in the Western Cape. Arthritis onset in MI patients showed a biphasic pattern, often affecting the knee.

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    Area of Science:

    • Epidemiology
    • Infectious Diseases
    • Rheumatology

    Background:

    • Meningococcal infection (MI) is an endemic public health concern in the Western Cape.
    • A significant number of MI cases present with complications, including meningococcal arthritis (MA).

    Purpose of the Study:

    • To review cases of meningococcal infection and associated meningococcal arthritis in the Western Cape.
    • To describe the epidemiological characteristics and clinical presentation of MI and MA.

    Main Methods:

    • Retrospective review of 2216 diagnosed and notified cases of meningococcal infection.
    • Analysis of 121 cases complicated by meningococcal arthritis.

    Main Results:

    • Meningococcal infection and arthritis were most prevalent in the Coloured population.

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  • Over 50% of MI patients were under 2 years old; MA patients were slightly older.
  • Arthritis onset exhibited a biphasic pattern (1-2 days and 5-10 days), commonly affecting the knee as monarticular arthritis.

    • Conclusions:

    • Meningococcal infection and its arthritic complication disproportionately affect the Coloured population in the Western Cape.
    • The biphasic onset and joint involvement patterns of meningococcal arthritis provide insights for clinical management.