       Document 0183
 DOCN  M9640183
 TI    [Pneumococcal septic arthritis in HIV infection]
 DT    9604
 AU    Trivalle C; Cremieux AC; Carbon C; Service de Medecine interne, Hopital
       Bichat, Paris.
 SO    Presse Med. 1995 Nov 4;24(33):1566-8. Unique Identifier : AIDSLINE
       MED/96142373
 AB    Infections due to pneumococci are frequent in patients infected with the
       human immunodeficiency virus (HIV), but joint infections are rare. We
       observed two cases of septic arthritis due to pneumococci in two
       non-haemophilic HIV seropositive patients. In the first case, a 31-year
       old drug addict who had undergone splenectomy, developed hip joint
       infection during an episode of meningitis due to pneumococci. The germ
       was moderately sensitive to ampicillin. The second case involved the
       knee joint in a 29-year-old woman who developed pneumococcal pneumonia
       after a trip to Zaire. In both cases, joint infection developed after
       antibiotics had been initiated, and in the first case, after the
       infection appear to be under control. This would be similar to
       post-infectious arthritis described in gonococcal and meningococcal
       infections. In HIV positive patients, joint infections are rare compared
       with other types of immunodepression, but can be observed in all stages
       of the disease. A total of 75 cases have been reported in the
       literature, including 8 cases due to pneumococci. These joint infections
       could be another argument in favour of anti-pneumococcal vaccination in
       HIV positive patients.
 DE    Adult  Arthritis, Infectious/*ETIOLOGY  Arthritis, Reactive/ETIOLOGY
       AIDS-Related Opportunistic Infections/ETIOLOGY/MICROBIOLOGY  Case Report
       English Abstract  Female  Human  HIV Seropositivity/*COMPLICATIONS  Male
       Pneumococcal Infections/*ETIOLOGY  JOURNAL ARTICLE  REVIEW  REVIEW OF
       REPORTED CASES

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

