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Case Report

Acute Septic Arthritis and Skin Abscess Caused by Neisseria cinerea

Hyo Moon Son, Ko Eun Lee, Soo Kyung Lim, Youn I Choi, Eun Kyo Jung, Miae Lee1, Jae Kwang Kim2, Hee Jung Choi
The Ewha Medical Journal 2014;37(Suppl):S24-S27. Published online: December 24, 2014

Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.

1Department of Laboratory Medicine, Ewha Womans University School of Medicine, Seoul, Korea.

2Department of Orthopedics, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author: Hee Jung Choi. Department of Internal Medicine, Ewha Womans University School of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel: 82-2-2650-6008, Fax: 82-2-2655-2076, heechoi@ewha.ac.kr
• Received: July 14, 2014   • Accepted: August 28, 2014

Copyright © 2014, The Ewha Medical Journal

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • 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.
  • Keywords: Neisseria cinerea; Arthritis, infectious; Soft tissue infection
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  • 2. Dossett JH, Appelbaum PC, Knapp JS, Totten PA. Proctitis associated with Neisseria cinerea misidentified as Neisseria gonorrhoeae in a child. J Clin Microbiol 1985;21:575-577.
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  • 9. Knapp JS, Totten PA, Mulks MH, Minshew BH. Characterization of Neisseria cinerea, a nonpathogenic species isolated on Martin-Lewis medium selective for pathogenic Neisseria spp. J Clin Microbiol 1984;19:63-67.
  • 10. von Lingelsheim W. Die bakteriologischen Arbeiten der Kgl Hygienischen Station zu Beuthen 0: Schl. wahrend der Genickstarreepidemie in Oberschlesien im Winter 1904/05. Klin Jahrb 1906;15:373-489.
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  • 13. Shirtliff ME, Mader JT. Acute septic arthritis. Clin Microbiol Rev 2002;15:527-544.
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).
emj-37-S24-g001.jpg
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.
emj-37-S24-g002.jpg
Table 1
Total case reports of Neisseria cinerea infection in the literature

IV, intra-venous; ESRD, end stage renal disease; CAPD, continuous ambulatory peritoneal dialysis; CSF, cerebrospinal fluid; AIDS, acquired immune deficiency syndrome.

emj-37-S24-i001.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • A 12-day-old Infant Presents with Eye Discharge
      Leora Lieberman, Nitya Rajeshuni, Evan Shirey, Yasaman Fatemi, Anna Costello
      NeoReviews.2023; 24(8): e511.     CrossRef
    • Infective Endocarditis Caused byNeisseria cinereain a 7-Year-Old Girl Who Had Undergone Surgical Pulmonary Valve Replacement
      Moon Sun Kim, Seong Ho Kim, So Ick Jang, Sang Yoon Lee
      The Ewha Medical Journal.2017; 40(4): 171.     CrossRef

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    Acute Septic Arthritis and Skin Abscess Caused by Neisseria cinerea
    Ewha Med J. 2014;37(Suppl):S24-S27.   Published online December 24, 2014
    DOI: https://doi.org/10.12771/emj.2014.37.S.S24
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    Acute Septic Arthritis and Skin Abscess Caused by Neisseria cinerea
    Ewha Med J. 2014;37(Suppl):S24-S27.   Published online December 24, 2014
    DOI: https://doi.org/10.12771/emj.2014.37.S.S24
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    Acute Septic Arthritis and Skin Abscess Caused by Neisseria cinerea
    Image Image
    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.

    Fig. 1

    Fig. 2

    Acute Septic Arthritis and Skin Abscess Caused by Neisseria cinerea

    Total case reports of Neisseria cinerea infection in the literature

    IV, intra-venous; ESRD, end stage renal disease; CAPD, continuous ambulatory peritoneal dialysis; CSF, cerebrospinal fluid; AIDS, acquired immune deficiency syndrome.
    Table 1 Total case reports of Neisseria cinerea infection in the literature

    IV, intra-venous; ESRD, end stage renal disease; CAPD, continuous ambulatory peritoneal dialysis; CSF, cerebrospinal fluid; AIDS, acquired immune deficiency syndrome.

    Table 1

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