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Volume 25, Number 10—October 2019
CME ACTIVITY - Synopsis

Case Studies and Literature Review of Pneumococcal Septic Arthritis in Adults

Amandine Dernoncourt1Comments to Author , Youssef El Samad, Jean Schmidt, Jean Philippe Emond, Charlotte Gouraud, Anne Brocard, Mohamed El Hamri, Claire Plassart, Florence Rousseau, Valéry Salle, Momar Diouf, Emmanuelle Varon, and Farida Hamdad1
Author affiliations: Amiens-Picardie University Medical Center, Amiens, France (A. Dernoncourt, Y. El Samad, J. Schmidt, J.P. Emond, A. Brocard, M. El Hamri, C. Plassart, F. Rousseau, V. Salle, M. Diouf, F. Hamdad); Compiègne Hospital, Compiègne, France (J.P. Emond, C. Gouraud); Senlis Hospital, Senlis, France (A. Brocard); Laon Hospital, Laon, France (M. El Hamri); Beauvais Hospital, Beauvais, France (C. Plassart); Intercommunal Hospital of Creteil, Paris, France (E. Varon)

Main Article

Table 2

Demographic data, clinical characteristics, underlying conditions, and other sites of pneumococcal infection for 16 patients with pneumococcal septic arthritis in the Picardie region, France, 2005–2016*

Patient age, y/sex
 Affected joint
 Days from admission to diagnosis
 Underlying conditions, risk factors
 Vaccination, type
 Clinical signs and symptoms
 Other infection
90/M
 Hip, prosthetic joint surgery 1 y before SA
 60
 Multiple myeloma diagnosed 2 y after septic arthritis
 ND
 Joint pain
 None
93/F
 Knee, prosthetic joint surgery 5 y before SA
 2
 None
 ND
 Joint pain and swelling
 Pneumonia
34/M
 Hip
 1
 Chronic alcoholism
 N
 Fever, joint pain
 None
68/M
 Knee
 4
 Gout, heart disease
 N
 Fever, joint pain and swelling
 Hematoma in abdominal muscles
75/M
 Knee
 1
 Diabetes mellitus, heart disease
 N
 Joint pain and swelling
 None
42/F
 One knee, both shoulders
 1
 Splenectomy,
Immunosuppressive drug
 Y, PPV23
 Joint pain and swelling
 None
80/F
 Knee
 1
 Chronic alcoholism
 N
 Joint pain and swelling
 None
61/F
 Knee
 2
 COPD, multiple myeloma diagnosed while hospitalized for septic arthritis
 N
 Fever, joint pain and swelling
 None
57/F
 Shoulder
 1
 COPD, MGUS
 N
 Joint pain and swelling
 Bronchitis 3 weeks prior
82/F
 Knee, prosthetic joint
 ND
 ND
 ND
 ND
 ND
90/F
 Knee
 ND
 ND
 ND
 ND
 ND
53/F
 Both sacroiliac joints
 2
 Splenectomy
 Y, PCV13
 Fever, joint pain
 Sinusitis 3 weeks prior
69/M
 Knee, prosthetic joint surgery 1 mo before SA
 1
 Malignant disease
MGUS
 N
 Fever, joint pain and swelling
 None
82/F
 Knee, prosthetic joint surgery 1 y before SA
 1
 None
 N
 Fever, joint pain and swelling
 Pneumonia
57/M
 Knee
 1
 Chronic alcoholism
 ND
 Fever, joint pain and swelling
 None
82/M Sacroiliac joint 5 None N Joint pain Pneumonia

*COPD, chronic obstructive pulmonary disease; MGUS, monoclonal gammopathy of undetermined significance; SA, septic arthritis; ND, no data.

Main Article

1These authors contributed equally to this article.

Page created: September 12, 2019
Page updated: September 12, 2019
Page reviewed: September 12, 2019
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