Missed diagnosis of septic arthritis due to invasive pneumococcal disease
A 61-year-old woman with severe gout, chronic kidney disease, type II diabetes, and heart failure with reduced ejection fraction was admitted with acute onset bilateral hand swelling and pain following a trauma. She was managed for a severe gout flare, but her symptoms, leukocytosis, and inflammator...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250922002724 |
| _version_ | 1828167967503810560 |
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| author | Jared Coe Rita Igwilo Surksha Sirichand Laura Cheney Marilou Corpuz |
| author_facet | Jared Coe Rita Igwilo Surksha Sirichand Laura Cheney Marilou Corpuz |
| author_sort | Jared Coe |
| collection | DOAJ |
| description | A 61-year-old woman with severe gout, chronic kidney disease, type II diabetes, and heart failure with reduced ejection fraction was admitted with acute onset bilateral hand swelling and pain following a trauma. She was managed for a severe gout flare, but her symptoms, leukocytosis, and inflammatory markers did not improve. Six days into the hospital course, she developed fevers. Blood cultures grew Streptococcus pneumoniae. Intravenous antibiotics were started, and the patient underwent multiple incision and debridements of the bilateral hands with improvement in symptoms and clinical status. Septic arthritis secondary to S. pneumoniae is uncommon. We highlight this case to recognize that septic arthritis should always be considered when a patient presents with a painful, erythematous joint. Pneumococcal vaccination reduces the incidence of invasive pneumococcal disease, and should be prioritized for those at high risk for invasive disease and who are immunocompromised. |
| first_indexed | 2024-04-12T02:26:08Z |
| format | Article |
| id | doaj.art-d99c439fbf914c46b2e124a0cb38bfb7 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-12T02:26:08Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-d99c439fbf914c46b2e124a0cb38bfb72022-12-22T03:52:00ZengElsevierIDCases2214-25092022-01-0130e01644Missed diagnosis of septic arthritis due to invasive pneumococcal diseaseJared Coe0Rita Igwilo1Surksha Sirichand2Laura Cheney3Marilou Corpuz4Department of Medicine, Division of Infectious Diseases, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA; Correspondence to: Division of Infectious Diseasesm Montefiore Medical Center, 3411 Wayne Avenue Suite 4H, Bronx, NY 10467, USA.Department of Medicine, Montefiore Medical Center, 600 East 233rd Street, Bronx, NY 10467, USADepartment of Medicine, Division of Infectious Diseases, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USADepartment of Medicine, Division of Infectious Diseases, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA; Department of Pathology, Albert Einstein College of Medicine, 1300 Morris Park Ave., Bronx, NY 10461, USADepartment of Medicine, Division of Infectious Diseases, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USAA 61-year-old woman with severe gout, chronic kidney disease, type II diabetes, and heart failure with reduced ejection fraction was admitted with acute onset bilateral hand swelling and pain following a trauma. She was managed for a severe gout flare, but her symptoms, leukocytosis, and inflammatory markers did not improve. Six days into the hospital course, she developed fevers. Blood cultures grew Streptococcus pneumoniae. Intravenous antibiotics were started, and the patient underwent multiple incision and debridements of the bilateral hands with improvement in symptoms and clinical status. Septic arthritis secondary to S. pneumoniae is uncommon. We highlight this case to recognize that septic arthritis should always be considered when a patient presents with a painful, erythematous joint. Pneumococcal vaccination reduces the incidence of invasive pneumococcal disease, and should be prioritized for those at high risk for invasive disease and who are immunocompromised.http://www.sciencedirect.com/science/article/pii/S2214250922002724GoutStrep pneumoniaePneumococcal vaccinationSeptic arthritis |
| spellingShingle | Jared Coe Rita Igwilo Surksha Sirichand Laura Cheney Marilou Corpuz Missed diagnosis of septic arthritis due to invasive pneumococcal disease IDCases Gout Strep pneumoniae Pneumococcal vaccination Septic arthritis |
| title | Missed diagnosis of septic arthritis due to invasive pneumococcal disease |
| title_full | Missed diagnosis of septic arthritis due to invasive pneumococcal disease |
| title_fullStr | Missed diagnosis of septic arthritis due to invasive pneumococcal disease |
| title_full_unstemmed | Missed diagnosis of septic arthritis due to invasive pneumococcal disease |
| title_short | Missed diagnosis of septic arthritis due to invasive pneumococcal disease |
| title_sort | missed diagnosis of septic arthritis due to invasive pneumococcal disease |
| topic | Gout Strep pneumoniae Pneumococcal vaccination Septic arthritis |
| url | http://www.sciencedirect.com/science/article/pii/S2214250922002724 |
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