Recurrent sterile arthritis following primary septic meningococcal arthritis.
Primary septic meningococcal arthritis (PSMA) is an unusual manifestation of meningococcal disease. With appropriate antibiotic therapy, complete recovery is the rule. A "postinfectious arthritis" in the previously infected joint may ensue, however. A patient who developed a recurrent sterile arthritis following PSMA, after a symptom-free interval, is described. Possible pathogenetic mechanisms and the clinical implications are discussed.
Department of Medicine A, Central Emek Hospital, Afula, Israel.
R
R
Mader
A
A
Zu'bi
S
S
Schonfeld
D000328:Adult; D001170:Arthritis, Infectious / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D016918:Arthritis, Reactive / Q000209:etiology*; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008589:Meningococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D009345:Neisseria meningitidis / Q000302:isolation & purification; D010406:Penicillins / Q000627:therapeutic use; D012008:Recurrence; D012460:Sulfasalazine / Q000627:therapeutic use
D010406:Penicillins; D012460:Sulfasalazine; D004318:Doxycycline