An atypical pneumococcal arthritis.
Bone and joint infections due to Streptococcus pneumoniae usually occur in patients who are immunocompromised, and involve one site. The unique case of a 49-year-old immunocompetent man, with an unremarkable medical history, with septicaemia and polyarticular septic arthritis involving the shoulder and knee and with cervical spondylodiscitis due to S pneumoniae, is described. In this case, S pneumoniae probably originated from the gingiva, which is commonly colonised in children and adults. S pneumoniae should be considered routinely when facing bone and joint infections, and multiple locations should be carefully sought owing to the possible lack of symptoms.
Department of Internal Medicine, Hopital Nord, Marseille, France. pascalmaurice.rossi@ap-hm.fr
Pascal
P
Rossi
Brigitte
B
Granel
Philippe
P
Mouly
Anne-Laurence
AL
Demoux
Fanny
F
Le Mée
Fanny
F
Bernard
Gerard
G
Faugère
Yves
Y
Francès
D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000276:immunology; D002574:Cervical Vertebrae / Q000473:pathology; D003937:Diagnosis, Differential; D015299:Discitis / Q000175:diagnosis*; D005881:Gingiva / Q000382:microbiology; D005891:Gingivitis / Q000175:diagnosis / Q000276:immunology; D006801:Humans; D007121:Immunocompetence / Q000276:immunology; D007403:Intervertebral Disc / Q000473:pathology; D007719:Knee Joint / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008334:Mandible / Q000473:pathology; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000175:diagnosis* / Q000276:immunology; D018805:Sepsis / Q000175:diagnosis* / Q000276:immunology; D012785:Shoulder Joint / Q000473:pathology