Abstract
Primary septic meningococcal arthritis (PSMA) is an unusual manifestation of meningococcal disease. With appropriate antibiotic therapy, complete recovery is the rule. A "postinfectious arthritis" in the previously infected joint may ensue, however. A patient who developed a recurrent sterile arthritis following PSMA, after a symptom-free interval, is described. Possible pathogenetic mechanisms and the clinical implications are discussed.
MeSH terms
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Adult
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Arthritis, Infectious / complications*
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Arthritis, Infectious / drug therapy
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Arthritis, Infectious / microbiology
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Arthritis, Reactive / etiology*
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Doxycycline / therapeutic use
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Drug Therapy, Combination
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Female
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Humans
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Meningococcal Infections / complications*
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Meningococcal Infections / drug therapy
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Meningococcal Infections / microbiology
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Neisseria meningitidis / isolation & purification
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Penicillins / therapeutic use
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Recurrence
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Sulfasalazine / therapeutic use
Substances
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Penicillins
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Sulfasalazine
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Doxycycline