[Primary meningococcal-monoarthritis (Neisseria meningitidis serotype C) in a child].
A 26-month-old girl had a painful, swollen right knee, accompanied by fever and vomiting. She had had an upper respiratory tract infection for a number of days. Following a positive culture of synovial fluid, monoarthritis caused by Neisseria meningitidis serotype C without other signs of illness was diagnosed. She recovered completely after one joint aspiration and intravenous and oral antibiotic therapy. N. meningitidis serotype C infections without meningitis or septicaemia are rare, but should form part of the differential diagnosis of septic monoarthritis.
te Poele
E M
EM
Afd. Kindergeneeskunde, Canisius-Wilhelmina Ziekenhuis, Weg door Jonkerbos 100, 6532 SZ Nijmegen.
Meis
J F G M
JF
Gerrits
G P J M
GP
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000382:microbiology / Q000473:pathology; D008589:Meningococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D038542:Neisseria meningitidis, Serogroup C / Q000302:isolation & purification* / Q000472:pathogenicity; D013582:Synovial Fluid / Q000382:microbiology
D000900:Anti-Bacterial Agents