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Son, Lee, Lim, Choi, Jung, Lee, Kim, and Choi: Acute Septic Arthritis and Skin Abscess Caused by Neisseria cinerea
Case Report

The Ewha Medical Journal 2014; 37(Suppl): S24-S27.

Published online: 24 December 2014

DOI: https://doi.org/10.12771/emj.2014.37.S.S24

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

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 14 July 2014       Accepted 28 August 2014

Copyright © 2014, The Ewha Medical Journal

(open-access):

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.

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.

Keywords: Neisseria cinerea, Arthritis, infectious, Soft tissue infection

Figures and Tables

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
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
Table 1
Total case reports of Neisseria cinerea infection in the literature
emj-37-S24-i001

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

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