title: Neisseria meningitidis Serogroup C Causing Primary Arthritis in a Child: Case Report.
abstract: BACKGROUND
  Neisseria meningitidis (N. meningitidis) is associated with severe invasive infections such as meningitis and fulminant septicemia. Septic arthritis due to N. meningitidis is rare and bone infections have been reported exceptionally. We report the case of a 1-year old girl who presented with a painful, swollen right knee, accompanied by fever and agitation. Arthrocentesis of the right knee, while patient was under anesthesia, yielded grossly purulent fluid, so we made arthrotomy and drainage. The culture from synovial fluid revealed N. meningitidis, sensitive to Ceftriaxone. The patient received intravenous antibiotherapy with Ceftriaxone. The status of the patient improved after surgical drainage and intravenous antibiotic therapy. She recovered completely after 1 month.
  
  
  CONCLUSIONS
  This observation illustrates an unusual presentation of invasive meningococcal infection and the early identification of the bacteria, combined with the correct treatment, prevent the complications and even death.
authors: From the Pediatric Orthopaedic Department, "St. Mary" Emergency Children Hospital (SS, RC); Pediatrics Department (AI, VVL); Pediatric Surgery Department (EH); and Anatomy Department, University of Medicine and Pharmacy "Gr. T. Popa"; Orthopaedics Clinic, "St. Spiridon" Emergency Clinical Hospital, Iasi, Romania (ABC).
authors: Sergiu
authors: S
authors: Straticiuc
authors: Ancuta
authors: A
authors: Ignat
authors: Elena
authors: E
authors: Hanganu
authors: Vasile Valeriu
authors: VV
authors: Lupu
authors: Alexandru Bogdan
authors: AB
authors: Ciubara
authors: Roxana
authors: R
authors: Cretu
mesh_terms: D001170:Arthritis, Infectious / Q000382:microbiology*; D005260:Female; D006801:Humans; D007223:Infant; D008589:Meningococcal Infections / Q000150:complications*; D038542:Neisseria meningitidis, Serogroup C / Q000302:isolation & purification*