Document Detail


Salmonella septic arthritis involving multiple joints in a girl with acute lymphoblastic leukemia at diagnosis.
MedLine Citation:
PMID:  19326836     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Septic arthritis due to Salmonella has been reported frequently, but multiple joint involvements have rarely been reported in children. A 3-year-old girl presented with Salmonella arthritis involving multiple joints. Laboratory investigations revealed pancytopenia inconsistent with diagnosis of juvenile rheumatoid arthritis or septic arthritis. Bone marrow examination 2 weeks later confirmed the diagnosis of acute lymphoblastic leukemia (ALL). Immunophenotyping studies were consistent with a diagnosis of pre-B ALL. This case illustrates that a delay in the diagnosis may occur when there is an apparent infection focus without classic features of leukemia. Multiple joints involvement of septic arthritis associated with pancytopenia should highlight the possibility of underlying hematologic disorders.
Authors:
Wei-Chin Yang; Yhu-Chering Huang; Ming-Horng Tsai; Cheng-Hsun Chiu; Tang-Her Jaing
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics and neonatology     Volume:  50     ISSN:  1875-9572     ISO Abbreviation:  -     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-04-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101484755     Medline TA:  Pediatr Neonatol     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  33-5     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Arthritis, Infectious / etiology*
Bone Marrow Examination
Child, Preschool
Female
Humans
Precursor Cell Lymphoblastic Leukemia-Lymphoma / complications*
Salmonella Infections / diagnosis,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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