A very rare case of primary meningococcal arthritis in an adult male

Nihonyanagi, Shin; Sunakawa, Keisuke; Cui, Longzhu; Takasu, Masaki; Wada, Takahiro; Hoshiyama, Takayuki; Nakamura, Masaki; Takayama, Yoko; Kanoh, Yuhsaku; Ogawa, Akifumi; Shichiri, Masayoshi; Hanaki, Hideaki

doi:10.1002/ccr3.151

Cited by 7 publications

(3 citation statements)

References 22 publications

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“…Nevertheless, more frequent serotypes are B, C, and Y. Only 42 cases of primary arthritis are reported in the literature between 1980 and 2014, all of them with excellent results [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

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Primary Meningococcal Type C Arthritis: A Case Report and Literature Review

Barahona

Catalán

Sato

et al. 2017

Case Reports in Orthopedics

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Acute septic arthritis is a common clinical problem in emergency departments. Primary meningococcal arthritis (PMA) is very rare and few cases are reported in literature. D. B. M. consulted the emergency department for knee pain and fever; analysis showed that the cause was a Neisseria meningitidis type C infection. He received a treatment consisting of 2 arthroscopies and 5 weeks of antibiotics. At five weeks he returned to work and at 2 months he resumed sports (jogging and soccer) without complaints. Primary arthritis of the knee caused by Neisseria meningitidis is very rare. It has a very good response to antibiotics and arthroscopy procedure. Short-term follow-up and functional results are often good or excellent.

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“…Nevertheless, more frequent serotypes are B, C, and Y. Only 42 cases of primary arthritis are reported in the literature between 1980 and 2014, all of them with excellent results [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…For the first two weeks, ceftriaxone was used at a dose of 2 grams per day; then cefuroxime was used for three weeks. Also, good results are reported with the use of ciprofloxacin or penicillin [ 4 , 5 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Primary Meningococcal Type C Arthritis: A Case Report and Literature Review

Barahona

Catalán

Sato

et al. 2017

Case Reports in Orthopedics

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“…La artritis séptica por N. meningitidis es una manifestación poco habitual que se observa en el 2-11% de las enfermedades meningocócicas invasivas en el adulto [3]. Sin embargo, es muy poco frecuente como causa primaria de artritis séptica [1,4] siendo descrita únicamente en el 1% de los casos [3]. En estas ocasiones afecta generalmente a niños, predominantemente varones (80%), y en raras ocasiones a adultos [5].…”

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Primary meningococcal arthritis

Machain

Pérez²,

Ortega³

et al. 2021

Rev Esp Quimioter

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Primary septic arthritis of the knee caused by Neisseria meningitidis serogroup B in an elderly patient. Case report and review of the literature

et al. 2022

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Purpose: Primary meningococcal arthritis (PMA) represents an uncommon clinical presentation of meningococcal infection, mainly reported among young people. Herein, a case of PMA of the knee in an elderly patient is described.Case presentation: On January 2022, an 87-year-old patient arrived at hospital with continuous fever persisting for three days and a picture of joint pain, swelling, redness, and warmth of her left knee. An arthrocentesis was promptly performed and the inoculated synovial uid turned positive with numerous Gram-negative diplococci at the microscopic examination. The BioFire® FilmArray®Meningitis/Encephalitis (ME) Panel (bioMérieux) quickly con rmed the presence of Neisseria meningitidis. The meningococcal isolate belonged to the serogroup B (MenB), Sequence type (ST)-162/ clonal complex (cc)162.Two grams of ceftriaxone twice a day were administered for 21 days; than cefditoren pivoxil 400 mg twice a day for further 6 weeks after discharge.

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A very rare case of primary meningococcal arthritis in an adult male

Cited by 7 publications

References 22 publications

Primary Meningococcal Type C Arthritis: A Case Report and Literature Review

Primary Meningococcal Type C Arthritis: A Case Report and Literature Review

Primary meningococcal arthritis

Primary septic arthritis of the knee caused by Neisseria meningitidis serogroup B in an elderly patient. Case report and review of the literature

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