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Literature DB >> 1958099

Pneumococcal septic arthritis after splenectomy in Felty's syndrome.

M Brzeski¹, L Smart, D Baird, R Jackson, R Sturrock.

Abstract

A patient with Felty's syndrome who developed bilateral knee septic arthritis and septicaemia due to Streptococcus pneumoniae is described. She had had a previous splenectomy for symptomatic thrombocytopenia, having received pneumococcal vaccine before the operation. Measurement of antibody to the 23 vaccine serotypes showed protective concentrations before infection to just two. The infecting serotype was not represented in the vaccine, but a vigorous antibody response to this serotype occurred. The patient also developed glomerulonephritis due to immune complex deposition.

Entities: Disease Species

Mesh：

Substances：

Year: 1991 PMID： 1958099 PMCID： PMC1004541 DOI： 10.1136/ard.50.10.724

Source DB: PubMed Journal: Ann Rheum Dis ISSN： 0003-4967 Impact factor: 19.103

17 in total

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Journal: Arch Intern Med Date: 1978-05

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Authors: R A Moore; C M Brunner; W R Sandusky; B S Leavell
Journal: Ann Intern Med Date: 1971-09 Impact factor: 25.391

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Authors: S W Hosea; C G Burch; E J Brown; R A Berg; M M Frank
Journal: Lancet Date: 1981-04-11 Impact factor: 79.321

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Authors: L R Hyman; E H Jenis; G S Hill; S W Zimmerman; P M Burkholder
Journal: Am J Med Date: 1975-06 Impact factor: 4.965

Review 5. Considerations for formulating the second-generation pneumococcal capsular polysaccharide vaccine with emphasis on the cross-reactive types within groups.

Authors: J B Robbins; R Austrian; C J Lee; S C Rastogi; G Schiffman; J Henrichsen; P H Mäkelä; C V Broome; R R Facklam; R H Tiesjema
Journal: J Infect Dis Date: 1983-12 Impact factor: 5.226

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Authors: E L Francke; H C Neu
Journal: Surg Clin North Am Date: 1981-02 Impact factor: 2.741

Review 7. Pneumococcal endocarditis in adult patients. A report of five cases and review of the literature.

Authors: G A Bruyn; J Thompson; J W Van der Meer
Journal: Q J Med Date: 1990-01

8. Immune response to acute otitis media in children. I. Serotypes isolated and serum and middle ear fluid antibody in pneumococcal otitis media.

Authors: J L Sloyer; V M Howie; J H Ploussard; A J Ammann; R Austrian; R B Johnston
Journal: Infect Immun Date: 1974-06 Impact factor: 3.441

Pneumococcal septic arthritis after splenectomy in Felty's syndrome.

1. Acute nephritis and pulmonary alveolitis following pneumococcal pneumonia.

2. Felty's syndrome: long-term follow-up after splenectomy.

3. Impaired immune response of splenectomised patients to polyvalent pneumococcal vaccine.

4. Alternative C3 pathway activiation in pneumococcal glomerulonephritis.

Review 5. Considerations for formulating the second-generation pneumococcal capsular polysaccharide vaccine with emphasis on the cross-reactive types within groups.

Review 6. Postsplenectomy infection.

Review 7. Pneumococcal endocarditis in adult patients. A report of five cases and review of the literature.

8. Immune response to acute otitis media in children. I. Serotypes isolated and serum and middle ear fluid antibody in pneumococcal otitis media.

9. Long-term outcome in Felty's syndrome.

10. Splenectomy for Felty's syndrome. Clinicopathological study of 27 patients.

1. Destructive pneumococcal septic arthritis in end-stage renal disease.

Review 2. Early postsplenectomy arthritis caused by penicillin-resistant Streptococcus pneumoniae.

3. Bilateral, simultaneous pneumococcal septic arthritis of the knees: a normal immune system, an unknown source.

4. Streptococcus pneumoniae causing septic arthritis with shock and revealing multiple myeloma.