title: Polyarticular septic arthritis following septic circumcision.
abstract: Ritual circumcision during an initiation ceremony for young adults is common practice in parts of South Africa. We report on a case of polyarticular septic arthritis in a seventeen-year-old man following septicaemia after circumcision, resulting in severe fixed flexion deformities of both knees. This case illustrates an unusual cause of polyarticular septic arthritis and the treatment difficulties associated with delayed presentation. It is also a reminder of the consequences of untreated acute septic arthritis.
authors: North West Orthopaedic Rotation, Manchester, UK. tmsmillar@hotmail.com
authors: Tim M
authors: TM
authors: Millar
authors: Patrick
authors: P
authors: McGrath
authors: Charles C
authors: CC
authors: McConnachie
mesh_terms: D000293:Adolescent; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D002944:Circumcision, Male; D003286:Contracture / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D007717:Knee; D008297:Male; D026741:Physical Therapy Modalities; D011859:Radiography; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D016896:Treatment Outcome; D014946:Wound Infection / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000890:Anti-Infective Agents