Destructive pneumococcal septic arthritis in end-stage renal disease.

Details

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State: Public
Version: author
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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_2727
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Destructive pneumococcal septic arthritis in end-stage renal disease.
Journal
Clinical Rheumatology
Author(s)
Ciernik I.F., Gerster J.C., Burckhardt P.
ISSN
0770-3198
Publication state
Published
Issued date
1997
Peer-reviewed
Oui
Volume
16
Number
5
Pages
477-479
Language
english
Abstract
Pneumococcal arthritis generally presents as non-destructive monoarthritis, although some underlying metabolic disorders such as liver failure and diabetes have been suggested to represent a risk factor for severe joint disease. Here we report a case of destructive pneumococcal arthritis of the left hip joint in a patient suffering from chronic renal failure treated with hemodialysis for ten years. Inspite of effective anti-pneumococcal antibiotic treatment, the patient with preexisting renal osteopathy and a mild osteoarthritis continued to suffer from severe and disabling pain of the left hip. This case demonstrates that pneumococcal joint infection in patients with underlying uremic bone disease can lead to quick deterioration of the affected joint.
Keywords
Aged, Anti-Bacterial Agents/therapeutic use, Arthritis, Infectious/drug therapy, Arthritis, Infectious/etiology, Female, Follow-Up Studies, Hip Joint, Humans, Kidney Failure, Chronic/complications, Kidney Failure, Chronic/therapy, Pain, Intractable/drug therapy, Pain, Intractable/etiology, Pneumococcal Infections/drug therapy, Pneumococcal Infections/etiology, Renal Dialysis
Pubmed
Web of science
Open Access
Yes
Create date
19/11/2007 13:24
Last modification date
01/10/2019 7:17
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