1/44. Characteristics of septic arthritis in human immunodeficiency virus-infected haemophiliacs versus other risk groups.The cases are presented of four haemophiliacs infected with human immunodeficiency virus (hiv) and with septic arthritis among the 340 patients followed at our centre. The data of these cases and 39 additional hiv-infected haemophiliacs with septic arthritis, identified in a literature search, are reviewed. The spectrum of bacterial pathogens is limited and somewhat different from that in other risk groups. The localization is exclusively to joints affected by haemophilic arthropathy. The laboratory picture is characterized by the absence of peripheral leucocytosis, varying CD4-helper cell counts, a high erythrocyte sedimentation rate and fever. The clinical picture mimics that of haemarthrosis, often causing a delay in diagnosis. Treatment with systemic antibiotics is often sufficient, obviating the need for arthrotomy and open drainage. prognosis related to the joint function is relatively good, but poor when related to the medium- to long-term survival of the patient.- - - - - - - - - - ranking = 1keywords = arthritis (Clic here for more details about this article) |
2/44. Detection of Salmonella infantis in synovial fluid cells of a patient with reactive arthritis.We investigated a patient with Salmonella infantis triggered reactive arthritis (ReA) for a possible occurrence of S. infantis-specific antigens and dna in the synovial fluid (SF) cells. S. infantis-specific antigens were abundantly observed by immunofluorescence in SF cells of the patient during acute joint inflammation. Salmonella-specific dna was detected by Southern blotting of the amplified polymerase chain reaction product once, but the result could not be repeated. It seems that if bacterial dna exists in inflamed joints in Salmonella triggered ReA, its amount is extremely low. This is the first report of intraarticular S. infantis antigens and potentially of Salmonella dna in Salmonella triggered ReA.- - - - - - - - - - ranking = 0.83333333333333keywords = arthritis (Clic here for more details about this article) |
3/44. Salmonella osteomyelitis secondary to iguana exposure.Salmonella osteomyelitis is a rare condition that has been associated with patients having hemoglobinopathies or immunosuppression. Healthy patients with no underlying medical history have been known to have Salmonella osteomyelitis develop. Salmonella infection secondary to reptile exposure is an increasing condition in the united states. Several manifestations of salmonellosis have been described in the literature, but no cases of reptile associated bone or joint infections have been reported. The authors present a case of a 7-month-old girl who contracted Salmonella osteomyelitis of her proximal humerus with septic arthritis of the glenohumeral joint secondary to iguana exposure.- - - - - - - - - - ranking = 0.16666666666667keywords = arthritis (Clic here for more details about this article) |
4/44. Psoriatic arthritis exacerbated by Salmonella infection.Psoriatic arthritis (PsA) is an inflammatory joint disease in which environmental factors, particularly trauma and infections, are thought to play an important role. The authors describe the case of a patient with a mild and long-untreated form of PsA which was severely exacerbated by salmonella typhimurium infection. This case confirms the importance of infectious agents in the occurrence and course of PsA.- - - - - - - - - - ranking = 0.83333333333333keywords = arthritis (Clic here for more details about this article) |
5/44. Salmonella septic arthritis in a patient with acute idiopathic thrombocytopenic purpura treated with steroid.Salmonella has three clinical presentations: self-limiting gastroenteritis, a systemic syndrome (enteric or typhoid fever), and bacteremia with focal infection. Hematogenous infections can cause focal lesions, but unusual manifestations occur more often when predisposing factors such as T cell defect, hemolytic disorders (sickle cell disease, malaria) or trauma are present. Salmonella tend to invade bones and joints. There is no mention of acute idiopathic (immune) thrombocytopenic purpura as a predisposing factor for salmonella septic arthritis; however there are reports about the importance of platelets for the immune response. Here we present a case of salmonella enteritidis septic arthritis following acute idiopathic (immune) thrombocytopenic purpura in a 15-year-old female patient who has been on steroid therapy for the last two weeks.- - - - - - - - - - ranking = 1keywords = arthritis (Clic here for more details about this article) |
6/44. Bilateral femoral osteomyelitis with knee arthritis due to salmonella enteritidis in a patient with systemic lupus erythematosus.A bilateral knee septic arthritis due to salmonella enteritidis developed in a female patient affected by long-standing systemic lupus erythematosus (SLE) with cardiac and renal involvement treated with immunosuppressants and corticosteroids. Because avascular necrosis and multiple osteomyelitic areas were detected at the same time in both right and left femoral condyles, an early localisation of Salmonella into the bone was assumed. Involvement of the joints was regarded as consequence of local dissemination of infection. Ampicilline (0.2 g/kg body weight daily for 2 months) plus ciprofloxacin (1.5 g daily for 12 months) and withdrawal of immunosuppressants appeared to be effective in preventing complications of infection.- - - - - - - - - - ranking = 0.83333333333333keywords = arthritis (Clic here for more details about this article) |
7/44. Mycotic (infected) aneurysm of the popliteal artery and arthritis following Salmonella bacteriemia.We report a case of a mycotic (infected) aneurysm of the popliteal artery due to salmonella enteritidis. The clinical presentation may be confused with other more common causes of diffuse swollen leg, causing a delay in the diagnosis and proper therapy. Prompt surgical resection of the infected aneurysm together with medical therapy is required for successful treatment.- - - - - - - - - - ranking = 0.66666666666667keywords = arthritis (Clic here for more details about this article) |
8/44. Invasive Salmonella virchow infection in childhood.Salmonella virchow is generally considered to be one of the less invasive non-typhoidal Salmonellae species; however, several invasive cases have previously been reported. We report 3 cases of otherwise healthy children with S. virchow bacteraemia, monoarthritis and prevertebral abscess, only 1 of whom had previously had gastroenteritis. All 3 children responded to antibiotic regimens consisting of cefotaxime for 10 d, ceftriaxone for 3 weeks and ceftriaxone plus clindamycin for 4 weeks, respectively. In conclusion, S. virchow may be a more invasive serotype in immunocompetent children and present with a wider spectrum of manifestations than considered previously.- - - - - - - - - - ranking = 0.16666666666667keywords = arthritis (Clic here for more details about this article) |
9/44. Salmonella prosthetic joint septic arthritis.We describe a case of salmonella enteritidis infection of a prosthetic knee joint that was cured with ceftriaxone therapy for 6 weeks and replacement of the tibial component of the prosthesis. Eleven other cases of salmonella prosthetic joint infection have been reported in the English-language literature. Five infections occurred within 20 days of prosthesis placement, and seven occurred several months to years later; ten of 12 infections involved hip prostheses. Nine of 12 patients who had prosthesis removal were cured of the infection. Two of the three patients with retention of the prosthesis required long-term suppressive antibiotic therapy.- - - - - - - - - - ranking = 0.66666666666667keywords = arthritis (Clic here for more details about this article) |
10/44. Septic arthritis in hiv positive haemophiliacs. Four cases and a literature review.Septic arthritis is rare in haemophiliacs. Four new cases who were also hiv positive are reported. In three, the knee was involved, and in the fourth the elbow. The organism was streptococcus pneumoniae and staphylococcus aureus in one patient each, and salmonella in two. Although all the patients were human immunodeficiency virus (hiv) positive at the time of diagnosis, only two patients developed autoimmune deficiency syndrome (AIDS) after their septic arthritis. These two died later due to AIDS complications. Treatment was conservative in all cases with antibiotic therapy and prompt rehabilitation. The results were fair in two and good in two. Therefore nonoperative management is advocated before surgical drainage is considered. It seems likely that a positive hiv status is related to the appearance of septic arthritis in haemophiliacs.- - - - - - - - - - ranking = 1.1666666666667keywords = arthritis (Clic here for more details about this article) |
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