Ewha Med J.  2014 Dec;37(Suppl):S24-S27. 10.12771/emj.2014.37.S.S24.

Acute Septic Arthritis and Skin Abscess Caused by Neisseria cinerea

• Son HM
• Lee KE
• Lim SK
• Choi YI
• Jung EK
• Lee M
• Kim JK
• Choi HJ

• KMID: 2171307
• DOI: http://doi.org/10.12771/emj.2014.37.S.S24

Abstract

Neisseria cinerea is bacteria known as non-pathogenic strain. However, in rare cases, it can cause opportunistic infections. Those diseases caused by N. cinerea include neonatal ophthalmia, proctitis, pneumonia, peritonitis in patients with continuous ambulatory peritoneal dialysis, endocarditis and meningitis. In this report, we describe a patient with septic arthritis and skin abscess of finger joints that was caused by N. cinerea. A 27-year-old man visited the hospital due to swelling, redness and pain of proximal interphalangeal joint of the left second finger. After blood culture test, ceftriaxone was administered on admission and debridement was performed the affected joints. N. cinerea was identified in the blood culture. The patient was improved with ceftriaxone.

Keyword

Neisseria cinerea; Arthritis, infectious; Soft tissue infection

MeSH Terms

Abscess*
Adult
Arthritis, Infectious*
Bacteria
Ceftriaxone
Debridement
Endocarditis
Endophthalmitis
Finger Joint
Fingers
Humans
Joints
Meningitis
Neisseria cinerea*
Opportunistic Infections
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis
Pneumonia
Proctitis
Skin*
Soft Tissue Infections
Ceftriaxone

Figure

• 

  Fig. 1 The picture shows 10×7 mm sized-dark colored pustule on the proximal interphalangeal joint of the left index finger (first day of admission).

• 

  Fig. 2 Contrast-enhanced, sagittal short tau inversion recovery sequence magnetic resonance image shows about 5×3 mm sized-oval shape lesion at subcutaneous layer of proximal interphalangeal joint of the left index finger, dorsal side (arrows) and effusion in proximal interphalangeal joint of the left index finger.

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