title: Early postsplenectomy arthritis caused by penicillin-resistant Streptococcus pneumoniae.
abstract: The first case of early-onset postsplenectomy arthritis due to intermediately penicillin-resistant Streptococcus pneumoniae is reported. After initial parenteral vancomycin and rifampin followed by oral prystinamycin-rifampin, the patient recovered without any sequelae. This case should increase awareness of the risk of invasive disease caused by penicillin-resistant Streptococcus pneumoniae in the early postoperative period after splenectomy.
authors.affiliation: Infectious Diseases and Intensive Care Unit, Hospital University Center Brabois, Vandoeuvre, France.
authors.forename: M
authors.initials: M
authors.lastname: Merle-Melet
authors.forename: J M
authors.initials: JM
authors.lastname: Tortuyaux
authors.forename: S
authors.initials: S
authors.lastname: Condette
authors.forename: P
authors.initials: P
authors.lastname: Maurer
authors.forename: C
authors.initials: C
authors.lastname: Lion
authors.forename: P
authors.initials: P
authors.lastname: Boissel
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016470:Bacteremia / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D010403:Penicillin Resistance; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013156:Splenectomy / Q000009:adverse effects*; D013296:Streptococcus pneumoniae / Q000187:drug effects* / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents