Hemophilus Influenzae Pyarthrosis in an Adult

Goldstein, Elliot

doi:10.1001/archinte.1964.03860110117012

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…Serum immunoglobin studies were performed in 2 previously reported cases. In one, the levels of IgG, IgA and IgM were normal (5); in the other, all fractions were elevated to twice the normal level (9). Our patient showed moderate elevation of the IgG and IgA fractions, but the specific bactericidal action of her serum on H. influenzae was not tested.…”

Section: Discussionmentioning

confidence: 50%

“…The history of an upper respiratory‐tract infection and the isolation of H. influenzae from the sputum, blood and joint fluid strongly indicate that hematogenous dissemination was the route in our patient. There was evidence for hematogenous dissemination in at least 6 of the previously reported cases, in 4 of which the blood‐culture findings were positive (5–8).…”

Section: Discussionmentioning

confidence: 95%

“…This has been attributed to increased bactericidal activity of the serum for this organism (3). To date, only 9 cases of documented H. influenzae arthritis have been reported in the English literature (2, 4–9). These cases and ours are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 99%

“…A review of the reports shows that 7 of the 9 patients had underlying or predisposing disorders, including degenerative arthritis (8), rheumatoid arthritis (7), alcoholism (5, 9), diabetes mellitus (2), and trauma to the affected joint (8–10). Two cases were preceded by symptoms of an upper respiratory‐tract infection (4, 10) and 2 were associated with H. influenzae meningitis (6, 7).…”

Section: Discussionmentioning

confidence: 99%

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Hemophilus Influenzae Infectious Arthritis in an Adult: Cephalothin Therapy: Review of Previous Cases

Dee

Tucker

Rytel

1974

J American Geriatrics Society

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A case of Hemophilus influenzae arthritis in a penicillin-sensitive female adult was successfully treated with large dosages of cephalothin intravenously. Upon admission to the hospital the patient gave a history of an upper respiratory-tract infection; her temperature was 104" F. Her right shoulder was hot and painful; aspiration produced about 12 ml of grossly purulent fluid. The sputum contained an abundance of pus cells and many Gram-positive cocci. Improvement started within forty-eight hours after starting cephalothin therapy, and the patient was afebrile after the fourteenth day. Cultures of the sputum, blood and joint fluid grew H. influenzae, found to be sensitive to several antibiotic drugs including cephalothin. There were no radiographic changes nor any demonstrable loss of function. A review of the 9 previously reported cases in adults is also presented.Hemophilus influenzae is a common etiologic agent in the infectious arthritis of infants and young children (1). In adults, it is exceedingly rare. Since Weaver and Sherwood's (2) first documented case, 9 cases have been described in the English literature. In this article, we report the tenth case. Moreover, t o our knowledge, this is the first case of H. influenzae arthritis successfully treated with cephalothin, which was given because of a history of penicillin hypersensitivity. CASE REPORTThis 62-year-old Negro female was in her usual good state of health until three days before admission. At that time, a nonproductive cough developed in association with a "scratchy" sensation in the throat. Within the

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Hemophilus Influenzae Infectious Arthritis in an Adult: Cephalothin Therapy: Review of Previous Cases

Dee

Tucker

Rytel

1974

J American Geriatrics Society

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Hemophilus influenzae. Septic arthritis in adults. Two case reports with review of previous cases

Hoaglund¹

1967

Archives of Internal Medicine

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Hemophilus influenzae septic arthritis. A mimicker of gonococcal arthritis

Krauss

Aronson

Gump

et al. 1974

Arthritis & Rheumatism

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The rare occurrence of septic arthritis due to Hemophilus influenzae in an adult with systemic lupus erythematosus is reported. The clinical presentation mimicked disseminated gonococcemia with associated gonococcal arthritis. The features of this case as well as other bacterial infections known to cause confusion with gonococcal arthritis are reviewed, and the clinical and laboratory characteristics of septic arthritis caused by H influerrzae are described.In children, infections from Type B Hemophilus influenzae are both well-recognized clinical problems and common occurrences. In adults however, infections due to this organism are rare (1). In this report we describe an adult female with an established diagnosis of systemic lupus erythematosus (SLE) who presented with an H influenzae Address reprint requests to Dr Newcornbe. Submitted for publication July 23, 1973; accepted October 11, 1973. septic arthritis and pustular skin lesions mimicking gonococcal arthritis. Those bacterial infections that cause a septic arthritis with clinical findings similar to gonococcal arthritis are reviewed, and the special features of H influenzae septic arthritis and its immunologic aspects are emphasized. CASE REPORTCM, a 22-year-old female with SLE, was admitted to the Medical Center Hospital of Vermont with a severely painful, swollen left elbow. Five days prior to admission the patient had fallen and struck her right elbow. The following day she experienced a shaking chill associated with a frontal headache. Two days prior to admission she began to experience pain in her right foot and noted a red, swollen area over the plantar surface of the first and second metatarsal heads and discomfort in her left elbow and right wrist. That evening she developed an erythematous, tender area over the anterior aspect of her left shin which limited flexion and extension movements of her left foot. Shortly after midnight on the day of admission, the patient awakened with fever and severe pain in her left elbow.Her manifestations of SLE had been controlled by aspirin, 4.8 g/day; hydroxychloroquine, 200 mg/ day; and triamcinalone, 6 mg/day. She had never

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Hemophilus Influenzae Pyarthrosis in an Adult

Cited by 9 publications

References 17 publications

Hemophilus Influenzae Infectious Arthritis in an Adult: Cephalothin Therapy: Review of Previous Cases

Hemophilus Influenzae Infectious Arthritis in an Adult: Cephalothin Therapy: Review of Previous Cases

Hemophilus influenzae. Septic arthritis in adults. Two case reports with review of previous cases

Hemophilus influenzae septic arthritis. A mimicker of gonococcal arthritis

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