Polyarticular Haemophilus Influenza Septic Arthritis in an HIV Patient

Polyarticular Septic Arthritis Due to Non-Typeable Haemophilus influenzae With Concomitant New-Onset Acute Gouty Arthritis

Journal of Investigative Medicine High Impact Case Reports ◽

10.1177/2324709619864990 ◽

2019 ◽

Vol 7 ◽

pp. 232470961986499

Author(s):

Brian Sanders ◽

Mohammed Abdulfatah ◽

Mossab Aljuaid ◽

Ibrahim Tawhari

Keyword(s):

Haemophilus Influenzae ◽

Septic Arthritis ◽

Gouty Arthritis ◽

Surgical Debridement ◽

Type B ◽

Haemophilus Influenza ◽

Acute Gouty Arthritis ◽

Polysaccharide Capsule ◽

Polysaccharide Capsules ◽

New Onset

Haemophilus influenzae is serologically classified into two main categories based on the presence or absence of the polysaccharide capsule. Strains that possess polysaccharide capsules are identified as typeable Haemophilus influenzae, whereas strains that do not have capsules are identified as non-typeable Haemophilus influenza. Only on very rare occasions, Haemophilus influenzae affects adult joints, and almost 95% of cases have been identified as type b serotypes. Coexistence of gouty and septic arthritis is rare but has been reported. We herein report a case of polyarticular septic arthritis caused by non-typeable Haemophilus influenzae in an adult with concomitant new-onset gouty arthritis. The case was successfully treated with surgical debridement and a 4-week course of ceftriaxone.

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Acute septic arthritis complicating chronic rheumatoid arthritis

JAMA ◽

10.1001/jama.196.7.617 ◽

1966 ◽

Vol 196 (7) ◽

pp. 617-621 ◽

Cited By ~ 3

Author(s):

D. L. Rimoin

Keyword(s):

Rheumatoid Arthritis ◽

Septic Arthritis ◽

Chronic Rheumatoid Arthritis

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Meningitis of childhood

Therapeutische Umschau ◽

10.1024/0040-5930.56.11.653 ◽

1999 ◽

Vol 56 (11) ◽

pp. 653-658

Author(s):

Schaad

Keyword(s):

Haemophilus Influenza

Maßgebend für die Prognose der Meningitis sind zuverlässige Frühdiagnostik und sofortige adäquate Betreuung, also Behandlung und Überwachung. Diesbezüglich hat sich in den letzten 5–10 Jahren Entscheidendes getan. Die erfolgreiche Einführung der aktiven Schutzimpfung gegen Haemophilus influenza Typ b im Säuglingsalter hat die Epidemiologie der bakteriellen Meningitis nachhaltig verändert. Wichtige Erkenntnisse in Pathogenese und Pathophysiologie sowie bakterielle Resistenzen haben die therapeutischen Richtlinien modifiziert. Die Kenntnis der prognostisch relevanten Faktoren hat sich erweitert.

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