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Saha A, Agarwal S, Gibson T. Septic arthritis: an extensive variety of pathology. BMJ Case Rep. 2009;2009doi: 10.1136/bcr.03.2009.1642.
Saha, A., Agarwal, S., & Gibson, T. (2009). Septic arthritis: an extensive variety of pathology. BMJ case reports, 2009. https://doi.org/10.1136/bcr.03.2009.1642
Saha, Amit, et al. "Septic arthritis: an extensive variety of pathology." BMJ case reports vol. 2009 (2009). doi: https://doi.org/10.1136/bcr.03.2009.1642
Saha A, Agarwal S, Gibson T. Septic arthritis: an extensive variety of pathology. BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.03.2009.1642. Epub 2009 Jul 14. PMID: 21754967; PMCID: PMC3027769.
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BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.03.2009.1642. Epub 2009 Jul 14.

Septic arthritis: an extensive variety of pathology.

BMJ case reports

Amit Saha, Sangita Agarwal, Terence Gibson

Affiliations

  1. Guy's and St Thomas' NHS Foundation Trust, Department of Rheumatology, Third Floor, Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London, SE1 7EH, UK.

PMID: 21754967 PMCID: PMC3027769 DOI: 10.1136/bcr.03.2009.1642

Abstract

Septic arthritis typically presents as a hot, swollen joint. Rapid recognition and treatment of this condition is essential to prevent permanent joint damage. However, septic arthritis does not always present in a textbook manner. The case presented here concerns septic arthritis affecting the right sternoclavicular joint. The patient did not have any risk factors for septic arthritis and presented with a swollen tender joint that was not hot. He was treated with penicillin and then amoxicillin for a total of 12 weeks and made a full recovery. The organism isolated from his right sternoclavicular joint was Neisseria elongata, which is the first ever documented case of this organism causing septic arthritis. This case emphasises that the suspicion of septic arthritis should remain high when unexplained monoarthritis occurs and there should be a low threshold in treating monoarthritis as septic arthritis even in the absence of risk factors.

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