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[Septic arthritis caused by Streptococcus pneumoniae]

J C Aguilar1, M M Martínez, R Daza

  • 1Servicio de Microbiología, Clínica Puerta de Hierro, Madrid.

Revista Clinica Espanola
|March 28, 1998
PubMed
Summary

Streptococcus pneumoniae is an uncommon cause of septic arthritis. Immunosuppression appears to be a key risk factor for developing this serious joint infection.

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Area of Science:

  • Infectious Diseases
  • Rheumatology
  • Microbiology

Background:

  • Streptococcus pneumoniae is an infrequent cause of septic arthritis.
  • This report details three cases of pneumococcal arthritis.

Observation:

  • A retrospective review of synovial fluids and clinical records from 1991-1995 was conducted.
  • Septic arthritis cases were identified through microbiological analysis of synovial fluid.
  • Three cases (11%) of septic arthritis were attributed to Streptococcus pneumoniae.

Findings:

  • The knee was the most common joint affected by pneumococcal arthritis.
  • The respiratory tract was the probable source of infection in two of the three cases.
  • Immunosuppression was identified as a significant risk factor.

Implications:

  • Highlights the importance of considering Streptococcus pneumoniae in septic arthritis, particularly in immunosuppressed individuals.
  • Suggests respiratory tract infections may precede pneumococcal joint involvement.
  • Underscores the need for prompt diagnosis and management of pneumococcal arthritis.

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