J Korean Pediatr Soc.  1999 Oct;42(10):1441-1445.

A Case of Septic Arthritis due to Haemophilus influenzae associated with Atypical Kawasaki Disease

• Yang SM
• Yun J
• Lee HK
• Yu YH
• Lee HS

Abstract

We report a case of septic arthritis due to H. influenzae associated with atypical Kawasaki disease. A 2-year-old boy was admitted to our orthopedic department due to limping gait of the right leg. CT finding of right hip joint revealed fluid collection. He was diagnosed as transient synovitis and septic arthritis. He was treated with antibiotics, but no incision nor drainage was performed. During the antibiotics therapy, limping gait subsided, but high fever, skin rash and lip fissure developed. Echocardiographic finding showed both coronary artery aneurysms. We diagnosed the boy's condition as atypical Kawasaki disease, and treated it with intravenous immunoglobulin(IVIG) and aspirin. Even, with the use of IVIG, fever was persistent. A second IVIG was tried, but fever did not subside. An MRI of right hip joint was followed up. The finding was consistent with septic arthritis associated with osteomyelitis of the right femur head. An incision and drainage was performed on the right hip joint, and the pus culture revealed beta-lactamase negative H. influenzae.

Keyword

Septic arthritis; Haemophilus influenzae; Kawasaki disease

MeSH Terms

Aneurysm
Anti-Bacterial Agents
Arthritis, Infectious*
Aspirin
beta-Lactamases
Child, Preschool
Coronary Vessels
Drainage
Echocardiography
Exanthema
Femur Head
Fever
Gait
Haemophilus influenzae*
Haemophilus*
Hip Joint
Humans
Immunoglobulins, Intravenous
Influenza, Human
Leg
Lip
Magnetic Resonance Imaging
Male
Mucocutaneous Lymph Node Syndrome*
Orthopedics
Osteomyelitis
Suppuration
Synovitis
Anti-Bacterial Agents
Aspirin
Immunoglobulins, Intravenous
beta-Lactamases