title: Multifocal septic arthritis with Group A Streptococcus secondary to nasal septal abscess.
abstract: This report describes a previously healthy adolescent male who developed a nasal septal abscess following trauma and subsequent multifocal arthritis with Group A Streptococcus requiring surgery and prolonged antibiotics. This sequence of events has not been previously described in the literature. This report highlights the importance of early recognition and treatment of traumatic nasal septal hematoma to reduce the risk of suppurative complications.
authors.affiliation: Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: David B
authors.initials: DB
authors.lastname: Soma
authors.forename: Jason H
authors.initials: JH
authors.lastname: Homme
mesh_terms: D000038:Abscess / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000209:etiology* / Q000382:microbiology / Q000628:therapy*; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009300:Nasal Septum; D009668:Nose Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D018570:Risk Assessment; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents