An atypical pneumococcal arthritis. (18th October 2010)

• Record Type: Journal Article
• Authors: Rossi, Pascal; Granel, Brigitte; Mouly, Philippe; Demoux, Anne-Laurence; Le Mée, Fanny; Bernard, Fanny; Faugère, Gerard; Francès, Yves
• Is Part Of: BMJ case reports. Volume 2010
• Publication Date: 2010-10-18
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.01.2010.2638
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.