title: [Septic oligoarthritis as a complication of rhumatoid arthritis--a case report].
abstract: We present the case a 53-year-old patient followed-up since 1999, for erosive AR treated with methotrexate and glucocorticoids. In April 2000, he had an arthritis of the right knee. The identification of an enterobacter in blood culture, and synovial biopsy results permitted the diagnosis of septic arthritis. After 23 days of antibioterapy treatment, the patient had an arthritis of the left knee. The infectious origin was confirmed by synovial biopsy. The course was better after adaptation of the antibiotics. Septic arthritis is then a serious complication of AR. It requires a fast and multidisciplinary management. It can be threatenig in fragile and immunocompromised patients. The functional prognosis is especially compromised in polyarticular septic arthritis.
authors.affiliation: Service de Rhumatologie la Rabta, Tunis, Tunisie.
authors.forename: Sahli
authors.initials: S
authors.lastname: Hela
authors.forename: Hamdi
authors.initials: H
authors.lastname: Wafa
authors.forename: Hamza
authors.initials: H
authors.lastname: Sami
authors.forename: Cheour
authors.initials: C
authors.lastname: Elhem
authors.forename: Meddeb
authors.initials: M
authors.lastname: Nihel
authors.forename: Sellami
authors.initials: S
authors.lastname: Slaheddine
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D001172:Arthritis, Rheumatoid / Q000150:complications*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids