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Case Reports
. 2019 Jan-Dec:7:2324709619864990.
doi: 10.1177/2324709619864990.

Polyarticular Septic Arthritis Due to Non-Typeable Haemophilus influenzae With Concomitant New-Onset Acute Gouty Arthritis

Brian Sanders  1 , Mohammed Abdulfatah  1 , Mossab Aljuaid  1 , Ibrahim Tawhari  1
Affiliations
Case Reports

Polyarticular Septic Arthritis Due to Non-Typeable Haemophilus influenzae With Concomitant New-Onset Acute Gouty Arthritis

Brian Sanders et al. J Investig Med High Impact Case Rep. 2019 Jan-Dec.

Abstract

Haemophilus influenzae is serologically classified into two main categories based on the presence or absence of the polysaccharide capsule. Strains that possess polysaccharide capsules are identified as typeable Haemophilus influenzae, whereas strains that do not have capsules are identified as non-typeable Haemophilus influenza. Only on very rare occasions, Haemophilus influenzae affects adult joints, and almost 95% of cases have been identified as type b serotypes. Coexistence of gouty and septic arthritis is rare but has been reported. We herein report a case of polyarticular septic arthritis caused by non-typeable Haemophilus influenzae in an adult with concomitant new-onset gouty arthritis. The case was successfully treated with surgical debridement and a 4-week course of ceftriaxone.

Keywords: arthritis; gout.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. St Geme JW, 3rd, Takala A, Esko E, Falkow S. Evidence for capsule gene sequences among pharyngeal isolates of nontypeable Haemophilus influenzae. J Infect Dis. 1994;169:337-342. - PubMed
    1. Borenstein DG, Simon GL. Haemophilus influenzae septic arthritis in adults. A report of four cases and a review of the literature. Medicine (Baltimore). 1986;65:191-201. - PubMed
    1. Adam HJ, Richardson SE, Jamieson FB, Rawte P, Low DE, Fisman DN. Changing epidemiology of invasive Haemophilus influenzae in Ontario, Canada: evidence for herd effects and strain replacement due to Hib vaccination. Vaccine. 2010;28:4073-4078. - PubMed
    1. Kim JH, Muto CA, Pasculle AW, Vergis EN. Invasive polyarticular septic arthritis caused by nontypeable Haemophilus influenzae in a young adult: a case report and literature review. J Clin Rheumatol. 2011;17:380-382. - PubMed
    1. Saba HI, Hartmann RC, Herion JC. Haemophilus influenzae septicemia and polyarthritis in multiple myeloma. South Med J. 1979;72:743-746. - PubMed

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