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Related Experiment Videos

Meningococcal arthritis simulating gonococcemia

E J Young, G L Morton

    Southern Medical Journal
    |May 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    A 19-year-old man presented with fever, sore throat, and leg pain, later diagnosed with septic arthritis. Blood cultures revealed Neisseria meningitidis, group B, suggesting a rare presentation of meningococcal disease.

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    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Rheumatology

    Background:

    • Septic arthritis is a serious joint infection.
    • Disseminated gonococcal infection can present with arthritis and dermatitis.
    • Neisseria meningitidis can cause systemic illness beyond meningitis.

    Purpose of the Study:

    • To report a rare case of Neisseria meningitidis presenting as arthritis-dermatitis syndrome.
    • To highlight the importance of considering meningococcal disease in septic arthritis presentations.
    • To describe the clinical features and microbiological findings of this unusual case.

    Main Methods:

    • Case report of a 19-year-old male with acute symptoms.
    • Clinical examination revealing pharyngitis, skin lesions, and septic arthritis.

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  • Laboratory investigations including blood and throat cultures.

    • Main Results:

    • The patient presented with fever, sore throat, leg pain, exudative pharyngitis, pustular skin lesions, and septic arthritis of the knee.
    • Blood and pharyngeal cultures were positive for Neisseria meningitidis, group B.
    • Three of 11 asymptomatic contacts also harbored Neisseria meningitidis in their throats.

    Conclusions:

    • Neisseria meningitidis, group B, can present with an arthritis-dermatitis syndrome mimicking gonococcal infection.
    • Early recognition and appropriate antibiotic therapy are crucial for favorable outcomes.
    • Asymptomatic carriage of Neisseria meningitidis is common, posing a potential transmission risk.