Non-typhoidal Salmonella septic arthritis in an immunocompetent child with a pharyngeal streptococcal infection.
We report the case of an immunocompetent child who showed monoarticular arthritis and fever, preceded by pharyngitis and arthralgias. Because group A beta-hemolytic Streptococcus had been detected in the pharyngeal swab, erythromycin was given on admission. However, based on ultrasound examination, therapy with ceftriaxone and joint fluid drainage were promptly performed, and a rapid and full recovery followed. Meanwhile, Salmonella enterica infection was revealed in blood and joint fluid. Our case suggests that septic arthritis caused by a non-typhoidal Salmonella infection may occur without gastrointestinal manifestations and concomitantly with a pharyngeal streptococcal infection.
Pezone
Ilaria
I
Department of Pediatrics, University of L'Aquila, L'Aquila, Italy.
Penna
Maria Rosa Della
MR
Flamini
Stefano
S
Nigro
Giovanni
G
D001170:Arthritis, Infectious / Q000150:complications* / Q000382:microbiology; D016470:Bacteremia / Q000150:complications / Q000382:microbiology; D002675:Child, Preschool; D006801:Humans; D007121:Immunocompetence; D008297:Male; D010612:Pharyngitis / Q000150:complications* / Q000382:microbiology; D012480:Salmonella Infections / Q000150:complications* / Q000382:microbiology; D019779:Salmonella enterica; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification