Child with serogroup W135 primary meningococcal septic arthritis

BMJ Case Rep. 2019 Oct 15;12(10):e229510. doi: 10.1136/bcr-2019-229510.

Abstract

Over the last decade, there has been a concerning increase in the number of invasive meningococcal serotype W infections in Europe. Although sepsis and meningitis are the most feared complications, focal complications of systemic disease such as pneumonia, pericarditis and arthritis can also occur. We present a rare case of isolated meningococcal W135 arthritis of the hip without invasive meningococcal disease in a 6-year-old patient.

Keywords: bone and joint infections; infectious diseases; orthopaedics; osteoarthritis; paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / microbiology*
  • Arthritis, Infectious / therapy
  • Child
  • Combined Modality Therapy
  • Diagnosis, Differential
  • Female
  • Fever
  • Hip Joint / microbiology*
  • Hip Joint / surgery
  • Humans
  • Meningococcal Infections / complications*
  • Meningococcal Infections / therapy
  • Neisseria meningitidis / isolation & purification*
  • Neisseria meningitidis, Serogroup W-135 / drug effects

Substances

  • Anti-Bacterial Agents