The University of Southampton
University of Southampton Institutional Repository

Primary meningococcal arthritis and endogenous endophthalmitis: a case report

Primary meningococcal arthritis and endogenous endophthalmitis: a case report
Primary meningococcal arthritis and endogenous endophthalmitis: a case report
INTRODUCTION: Arthritis and endophthalmitis are both recognised complications of meningococcal infection. They may occur in the presence or absence of meningitis or meningococcaemia. Primary meningococcal arthritis (PMA) and endophthalmitis are important diagnoses to recognise as delayed treatment would result in permanent joint and eye damage. We report the first patient with both PMA and meningococcal endophthalmitis and present a review of the literature. CLINICAL PICTURE: An afebrile, non-toxic, 54-year-old female presented with arthritis and a painful red left eye following an episode of diarrhoea. An initial diagnosis of reactive arthritis with uveitis was made. However, subsequent microbiological investigations isolated Neisseria meningitides thus confirming the final diagnosis. TREATMENT: Antibiotics were instituted. OUTCOME: There was complete resolution of the arthritis but her left eye vision had deteriorated to just perception of light. CONCLUSION: The presentations of PMA and meningococcal endophthalmitis are often confusing. This should be considered in the differential diagnosis of reactive arthritis and acute dermatitis-arthritis syndrome.
infectious arthritis, neisseria meningitides, reactive arthritis, suppurative uveitis
706-709
Cheng, Y. K.
d0493508-aa8b-4baf-89a1-144faf62581a
Leo, S. W.
a75558cf-fd4b-4ee0-9e12-00b9c0cf4bef
Edwards, C. J.
dcb27fec-75ea-4575-a844-3588bcf14106
Koh, E. T.
8c12f89b-3ec1-4eb0-89be-42537e3c3919
Cheng, Y. K.
d0493508-aa8b-4baf-89a1-144faf62581a
Leo, S. W.
a75558cf-fd4b-4ee0-9e12-00b9c0cf4bef
Edwards, C. J.
dcb27fec-75ea-4575-a844-3588bcf14106
Koh, E. T.
8c12f89b-3ec1-4eb0-89be-42537e3c3919

Cheng, Y. K., Leo, S. W., Edwards, C. J. and Koh, E. T. (2003) Primary meningococcal arthritis and endogenous endophthalmitis: a case report. Annals Academy of Medicine Singapore, 32 (5), 706-709.

Record type: Article

Abstract

INTRODUCTION: Arthritis and endophthalmitis are both recognised complications of meningococcal infection. They may occur in the presence or absence of meningitis or meningococcaemia. Primary meningococcal arthritis (PMA) and endophthalmitis are important diagnoses to recognise as delayed treatment would result in permanent joint and eye damage. We report the first patient with both PMA and meningococcal endophthalmitis and present a review of the literature. CLINICAL PICTURE: An afebrile, non-toxic, 54-year-old female presented with arthritis and a painful red left eye following an episode of diarrhoea. An initial diagnosis of reactive arthritis with uveitis was made. However, subsequent microbiological investigations isolated Neisseria meningitides thus confirming the final diagnosis. TREATMENT: Antibiotics were instituted. OUTCOME: There was complete resolution of the arthritis but her left eye vision had deteriorated to just perception of light. CONCLUSION: The presentations of PMA and meningococcal endophthalmitis are often confusing. This should be considered in the differential diagnosis of reactive arthritis and acute dermatitis-arthritis syndrome.

Full text not available from this repository.

More information

Published date: 2003
Additional Information: Special Theme: Recent Advances in Obstetrics and Gynaecology
Keywords: infectious arthritis, neisseria meningitides, reactive arthritis, suppurative uveitis

Identifiers

Local EPrints ID: 25365
URI: https://eprints.soton.ac.uk/id/eprint/25365
PURE UUID: de134d13-3545-4200-9f42-5e3b91c521ee

Catalogue record

Date deposited: 12 Apr 2006
Last modified: 25 Sep 2018 16:31

Export record

Contributors

Author: Y. K. Cheng
Author: S. W. Leo
Author: C. J. Edwards
Author: E. T. Koh

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×