Arthritis in Children With Bacterial Meningitis

Likitnukul, Sasithorn; McCracken, George H.; Nelson, John D.

doi:10.1001/archpedi.1986.02140190034019

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Systemic Complications2

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1987

2012

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Cited by 13 publications

(9 citation statements)

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“…This is in contrast to previous experience stating that early-onset arthritis is more propably septic [4] whereas reactive arthritis occurs later during the course of the disease [6]. This is in contrast to previous experience stating that early-onset arthritis is more propably septic [4] whereas reactive arthritis occurs later during the course of the disease [6].…”

contrasting

confidence: 93%

Announcement

1991

Eur J Pediatr

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contrasting

confidence: 93%

Announcement

1991

Eur J Pediatr

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“…The coexistence of bacterial meningitis and arthritis has been described in several studies;24, 33 – 35 it occurs in 7% of patients overall,36 more in meningococcal meningitis (12%). It is caused either by haematogenous bacterial seeding of joints (septic arthritis) or by immune-complex deposition in joints (immunomediated arthritis).…”

Section: Systemic Complicationsmentioning

confidence: 98%

Community-acquired bacterial meningitis in adults

Schut¹,

Gans²,

Beek

2008

Pract Neurol

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Despite the availability of effective antibiotics, vaccination programmes and skilled acute-care facilities, there is still a significant mortality and morbidity from bacterial meningitis. Neurologists are often called on to "rule out bacterial meningitis", which can be difficult with the history and physical examination alone. In this review the authors will discuss the epidemiology, diagnosis and treatment of acute community-acquired bacterial meningitis in adults, focussing particularly on the management of patients with neurological complications, and stressing the importance of adjunctive dexamethasone.

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“…The osteoarticular symptoms shown during the acute stage of the meningococcal infection are well known and represent a frequent complication in the course of the illness [7]. In a study done at our hospital (not yet published), mono or polyarticular arthritis ocurred in 13.8% of cases.…”

Section: Discussionmentioning

confidence: 85%

Late osteoarticular lesions following meningococcemia with disseminated intravascular coagulation

et al. 1989

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Nineteen children, who had been admitted to the Pediatric Hospital of Coimbra with severe meningococcal infection with DIC, were submitted to clinical and radiological examination, an average of 4.2 years after hospitalization, in order to demonstrate late skeletal lesions. Patellar dystrophy, to our knowledge previously unreported, was found in 4 children, all of whom had overlying cutaneous scarring.

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Arthritis in Children With Bacterial Meningitis

Cited by 13 publications

References 11 publications

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Community-acquired bacterial meningitis in adults

Late osteoarticular lesions following meningococcemia with disseminated intravascular coagulation

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