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Meningococcemia presenting as acute polyarthritis.
J Rheumatol. 1977 Winter; 4(4):420-4.JR

Abstract

Four patientw with acute polyarthritis due to meningcoccemia are described. One had skin manifestations suggesting vasculitis, another had transient nodular lesions, but there were none of these features in the other two. Synovial fluid cultures were negative and cells counts did not suggest septic arthritis. The diagnosis was not suspected until positive blood cultures were reported in three cases and meningitis developed in the fourth. In spite of diagnostic delay due to slow growth in cultures (six to 11 days) there was prompt response to antibiotic treatment. Meningococcemia should be suspected in patients presenting with fever and polyarthritis, even in the absence of skin lesions.

Authors

No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

415140

Citation

Pinals, R S.. "Meningococcemia Presenting as Acute Polyarthritis." The Journal of Rheumatology, vol. 4, no. 4, 1977, pp. 420-4.
Pinals RS. Meningococcemia presenting as acute polyarthritis. J Rheumatol. 1977;4(4):420-4.
Pinals, R. S. (1977). Meningococcemia presenting as acute polyarthritis. The Journal of Rheumatology, 4(4), 420-4.
Pinals RS. Meningococcemia Presenting as Acute Polyarthritis. J Rheumatol. 1977;4(4):420-4. PubMed PMID: 415140.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Meningococcemia presenting as acute polyarthritis. A1 - Pinals,R S, PY - 1977/1/1/pubmed PY - 1977/1/1/medline PY - 1977/1/1/entrez SP - 420 EP - 4 JF - The Journal of rheumatology JO - J. Rheumatol. VL - 4 IS - 4 N2 - Four patientw with acute polyarthritis due to meningcoccemia are described. One had skin manifestations suggesting vasculitis, another had transient nodular lesions, but there were none of these features in the other two. Synovial fluid cultures were negative and cells counts did not suggest septic arthritis. The diagnosis was not suspected until positive blood cultures were reported in three cases and meningitis developed in the fourth. In spite of diagnostic delay due to slow growth in cultures (six to 11 days) there was prompt response to antibiotic treatment. Meningococcemia should be suspected in patients presenting with fever and polyarthritis, even in the absence of skin lesions. SN - 0315-162X UR - https://www.unboundmedicine.com/medline/citation/415140/Meningococcemia_presenting_as_acute_polyarthritis_ L2 - http://www.diseaseinfosearch.org/result/4599 DB - PRIME DP - Unbound Medicine ER -