Salmonella septic arthritis in a patient with acute idiopathic thrombocytopenic purpura treated with steroid

Turk J Pediatr. 2000 Apr-Jun;42(2):151-4.

Abstract

Salmonella has three clinical presentations: self-limiting gastroenteritis, a systemic syndrome (enteric or typhoid fever), and bacteremia with focal infection. Hematogenous infections can cause focal lesions, but unusual manifestations occur more often when predisposing factors such as T cell defect, hemolytic disorders (sickle cell disease, malaria) or trauma are present. Salmonella tend to invade bones and joints. There is no mention of acute idiopathic (immune) thrombocytopenic purpura as a predisposing factor for salmonella septic arthritis; however there are reports about the importance of platelets for the immune response. Here we present a case of Salmonella enteritidis septic arthritis following acute idiopathic (immune) thrombocytopenic purpura in a 15-year-old female patient who has been on steroid therapy for the last two weeks.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Reactive / diagnosis
  • Arthritis, Reactive / etiology*
  • Arthritis, Reactive / therapy
  • Diagnosis, Differential
  • Female
  • Humans
  • Purpura, Thrombocytopenic, Idiopathic / complications*
  • Purpura, Thrombocytopenic, Idiopathic / drug therapy
  • Risk Factors
  • Salmonella Infections / diagnosis
  • Salmonella Infections / drug therapy
  • Salmonella Infections / etiology*
  • Steroids / adverse effects
  • Steroids / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Steroids