We report the case of an immunocompetent child who showed monoarticular arthritis and fever, preceded by pharyngitis and arthralgias. Because group A β-hemolytic Streptococcus had been detected in the pharyngeal swab, erythromycin was given on admission. However, based on ultrasound examination, therapy with ceftriaxone and joint fluid drainage were promptly performed, and a rapid and full recovery followed. Meanwhile, Salmonella enterica infection was revealed in blood and joint fluid. Our case suggests that septic arthritis caused by a non-typhoidal Salmonella infection may occur without gastrointestinal manifestations and concomitantly with a pharyngeal streptococcal infection. © 2008 International Society for Infectious Diseases.
Pezone, I., Penna, M. R. D., Flamini, S., & Nigro, G. (2009). Non-typhoidal Salmonella septic arthritis in an immunocompetent child with a pharyngeal streptococcal infection. International Journal of Infectious Diseases, 13(1). https://doi.org/10.1016/j.ijid.2008.06.002