1
|
O'Rourke C, Garden M, Joyce P, Pagliaro T, Gray H, Wilks K. Serogroup Y primary meningococcal arthritis in a child. J Paediatr Child Health 2018; 54:689-691. [PMID: 29393540 DOI: 10.1111/jpc.13844] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Revised: 11/16/2017] [Accepted: 12/04/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Claudia O'Rourke
- Department of Paediatrics, Sunshine Coast University Hospital, Birtinya, Queensland, Australia
| | - Mark Garden
- Department of Paediatrics, Sunshine Coast University Hospital, Birtinya, Queensland, Australia
| | - Patrick Joyce
- Infectious Diseases, Sunshine Coast University Hospital, Birtinya, Queensland, Australia
| | - Thomas Pagliaro
- Department of Orthopaedics, Sunshine Coast University Hospital, Birtinya, Queensland, Australia
| | - Hamish Gray
- Department of Orthopaedics, Sunshine Coast University Hospital, Birtinya, Queensland, Australia
| | - Kathryn Wilks
- Infectious Diseases, Sunshine Coast University Hospital, Sunshine Coast, Queensland, Australia
| |
Collapse
|
2
|
Lavoipierre V, Dellyes A, Aubry C, Zandotti C, Lafforgue P, Parola P, Lagier JC. Acute polyarthritis in a young patient caused by meningococcal and parvovirus B19 infections: a case report and review of the literature. J Med Case Rep 2016; 10:362. [PMID: 27998301 PMCID: PMC5175313 DOI: 10.1186/s13256-016-1156-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2016] [Accepted: 11/23/2016] [Indexed: 01/09/2023] Open
Abstract
Background Meningococcal infection is a multifaceted disease including acute polyarthritis. This presentation should be known by clinicians in order to prevent delay in treatment. We report what we believe to be the first case of an association of parvovirus B19 and meningococcal polyarthritis in a young adult. Case presentation A 19-year-old Caucasian woman presented to our hospital with fever, intense leg pain, and a transient rash. A physical examination showed asymmetric polyarthritis and no neurological abnormalities. A parvovirus B19 polymerase chain reaction performed using a blood sample and knee fluid aspirate came back positive, but serology was negative for immunoglobulin M and positive for immunoglobulin G. A blood culture was positive for serotype C meningococcus; a polymerase chain reaction performed for Neisseria meningitidis was positive in joint fluid but negative in blood samples (performed after antibiotic treatment had begun). Our patient was treated with ceftriaxone for 15 days, associated with analgesic therapy. Hydroxychloroquine treatment was introduced 5 months after the onset of polyarthritis because of persisting inflammatory arthralgia. Conclusions To the best of our knowledge, this is the first case report of polyarthritis caused by concomitant meningococcal and parvovirus B19 infections. This unusual presentation of meningococcal disease may have resulted from the persistent parvovirus B19 infection. Our experience with this case illustrates the need for a systematic approach to the diagnosis of febrile acute polyarthritis. Only long-term follow-up will reveal if this infectious polyarthritis will evolve towards an autoimmune rheumatism.
Collapse
Affiliation(s)
- Virginie Lavoipierre
- Service de Maladies Infectieuses Aigues, Pôle Maladies Infectieuses, Assistance Publique Hôpitaux de Marseille, CHU Timone, Institut Hospitalo-Universitaire Méditerranée Infection, 13005, Marseille, France
| | - Anna Dellyes
- Service de Rhumatologie, Assistance Publique Hôpitaux de Marseille, CHU Sainte Marguerite, 13009, Marseille, France
| | - Camille Aubry
- Service de Maladies Infectieuses Aigues, Pôle Maladies Infectieuses, Assistance Publique Hôpitaux de Marseille, CHU Timone, Institut Hospitalo-Universitaire Méditerranée Infection, 13005, Marseille, France
| | - Christine Zandotti
- Pôle Maladies Infectieuses, Fédération de Microbiologie, Assistance Publique Hôpitaux de Marseille, CHU Timone, Institut Hospitalo-Universitaire Méditerranée Infection, 13015, Marseille, France
| | - Pierre Lafforgue
- Service de Rhumatologie, Assistance Publique Hôpitaux de Marseille, CHU Sainte Marguerite, 13009, Marseille, France
| | - Philippe Parola
- Service de Maladies Infectieuses Aigues, Pôle Maladies Infectieuses, Assistance Publique Hôpitaux de Marseille, CHU Timone, Institut Hospitalo-Universitaire Méditerranée Infection, 13005, Marseille, France.,Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, INSERM 1095, Faculté de Médecine, Institut Hospitalo-Universitaire Méditerranée-Infection, Marseille, France
| | - Jean-Christophe Lagier
- Service de Maladies Infectieuses Aigues, Pôle Maladies Infectieuses, Assistance Publique Hôpitaux de Marseille, CHU Timone, Institut Hospitalo-Universitaire Méditerranée Infection, 13005, Marseille, France. .,Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, INSERM 1095, Faculté de Médecine, Institut Hospitalo-Universitaire Méditerranée-Infection, Marseille, France.
| |
Collapse
|
3
|
Cabellos C, Nolla JM, Verdaguer R, Pelegrin I, Ribera A, Ariza J, Viladrich PF. Arthritis related to systemic meningococcal disease: 34 years’ experience. Eur J Clin Microbiol Infect Dis 2012; 31:2661-6. [DOI: 10.1007/s10096-012-1610-1] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2012] [Accepted: 03/18/2012] [Indexed: 11/28/2022]
|