J Korean Rheum Assoc.  1999 Mar;6(1):69-74.

A Case of Septic Arthritis Caused by Salmonella Group D in a Patient with Systemic Lupus Erythematosus

• Cho YJ
• Suh CH
• Kim JS
• Lee DH
• Song J
• Lee WK
• Park YB
• Lee CH
• Lee JS
• Lee SK

Abstract

Patients with systemic lupus erythematosus(SLE) are at increased risk for infection. Insufficiency of the reticuloendothelial system caused by either immunosuppressive therapy or inadequate opsonization is the mechanism that Salmonella infections in particular appear in these patients. Salmonella infections can provoke a polyarticular reactive arthritis while septic arthritis caused by Salmonella is monoarticular. We report a rare case of septic arthritis caused by Salmonella Group D in a patient with systemic lupus erythematosus. A 20-year-old female patient with systemic lupus erythematosus admitted with a painful swelling of right knee joint. The culture of synovial fluid obtained by aspiration yielded growth of Salmonella Group D. With trimethoprimsulfamethoxazole, the patient was recovered completely.

Keyword

Systemic lupus erythematosus; Salmonella; Septic arthritis

MeSH Terms

Arthritis, Infectious*
Arthritis, Reactive
Female
Humans
Knee Joint
Lupus Erythematosus, Systemic*
Mononuclear Phagocyte System
Salmonella Infections
Salmonella*
Synovial Fluid
Young Adult