Andersson S, Krook A
Scand J Infect Dis. 1987;19(1):51-4. doi: 10.3109/00365548709032377.
Arthritis in meningococcal disease is not uncommon and can be caused by either septic invasion of joints or allergic manifestations. Primary meningococcal arthritis (PMA) is, on the other hand, a rare form of meningococcal disease presenting as an isolated septic arthritis without other signs of meningococcal disease. We describe here the first two cases of PMA reported from Scandinavia. The patients were males, 3 and 47 years old, both with arthritis in an ankle joint. PMA is most commonly seen among male infants. Large joints, mainly knee joints, are most often involved and not seldom is the disease polyarthritic. PMA may appear with a previous or on-going upper respiratory tract infection and/or a maculopapular skin rash. If properly treated the prognosis is good.
脑膜炎球菌病中的关节炎并不罕见，可由关节的脓毒症侵袭或过敏表现引起。另一方面，原发性脑膜炎球菌关节炎（PMA）是脑膜炎球菌病的一种罕见形式，表现为孤立的化脓性关节炎，而无其他脑膜炎球菌病体征。我们在此描述斯堪的纳维亚半岛报告的首例两例PMA病例。患者均为男性，年龄分别为3岁和47岁，均有关节炎累及踝关节。PMA最常见于男婴。大关节，主要是膝关节，最常受累，而且该病常为多关节性。PMA可能在先前或正在发生的上呼吸道感染和/或斑丘疹性皮疹之后出现。若得到妥善治疗，预后良好。
