Case Report
Volume 9 Issue 8 - 2020
Septic Arthritis due to Neisseria meningitidis Serogroup W in Toddlers
Laura Corominas1*, I Manent2, A Peiro1 and E Velasco3
1Pediatric Orthopedic Surgeon, Hospital Sant Joan de Deu, Barcelona, Spain
2Pediatric Orthopedic Resident, Fundació Hospital Esperit Sant, Spain
3Pediatric Medical Doctor, Hospital Sant Joan de Deu, Barcelona, Spain
*Corresponding Author: Laura Corominas, Pediatric Orthopedic Surgeon, Hospital Sant Joan de Deu, Barcelona, Spain.
Received: April 13, 2020; Published: July 29, 2020


Introduction: Since 2009, there has been a serious increase in the number of meningococcal infections in Europe caused by the serotype W meningococcus (MenW:cc11). Invasive meningococcal disease is typically known to cause severe sepsis or meningitis with high overall mortality rates of 10% despite adequate antimicrobial treatment. Focal infections such as arthritis incidentally occur as a complication of systemic disease.

Case Report: We describe a rare case of primary meningococcal W135 arthritis in a 2-year-old patient.

Results: Arthrocentesis of the right Ankle while patient was under anesthesia, yielded grossly purulent fluid, so we made arthrotomy and drainage. The culture from synovial fluid revealed N. meningitidis. The status of the patient improved after surgical drainage and intravenous antibiotic therapy. She recovered completely after 1 month.

Discussion: Atypical clinical presentation is associated with higher case fatality rates and can lead to misdiagnoses. An unusual presentation of invasive meningococcal infection and the early identification of the bacteria, combined with the correct treatment, prevent the complications and even death.

Keywords: Serogroup W; Primary Meningococcal Septic Arthritis; Toddler; Atypical Presentation


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Citation: Laura Corominasz., et al. “Septic Arthritis due to Neisseria meningitidis Serogroup W in Toddlers”. EC Paediatrics 9.8 (2020): 01-05.

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