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.
Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
G
G
Kanra
G
G
Seçmeer
M
M
Toyran
A B
AB
Cengiz
Y
Y
Değertekin
A
A
Kara
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016918:Arthritis, Reactive / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000188:drug therapy; D012307:Risk Factors; D012480:Salmonella Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013256:Steroids / Q000009:adverse effects / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D013256:Steroids