Polymicrobial polyarticular septic arthritis: a rare clinical entity.
Polymicrobial polyarticular septic arthritis is a rare clinical entity, with only a few cases having been reported to date. We report a case due to Streptococcus pyogenes and Staphylococcus aureus in an IVDU, complicated by fatal streptococcal toxic-shock syndrome, and review the current literature. We conclude that whenever polymicrobial polyarticular septic arthritis is diagnosed, a high index of suspicion should be maintained for the detection of locally destructive infectious processes as well as systemic complications, and that a high mortality rate should be expected.
Gilad
J
J
Infectious Disease Institute, Soroka University Medical Center, Beer-Sheva, Israel. giladk@hotmail.com
Borer
A
A
Riesenberg
K
K
Klein
M
M
Peled
N
N
Schlaeffer
F
F
D000328:Adult; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D012772:Shock, Septic / Q000150:complications / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D015819:Substance Abuse, Intravenous / Q000150:complications