Article information
Abstract
Most infections by group B streptococcus of the Lancefield classification (Streptococcus agalactiae), were reported in pregnant women or during the puerperal period, as well as in neonates. During the past three decades there have been reports of increasingly invasive infections in adults unrelated to pregnancy, although arthritis and osteomyelitis are still very rare. In this article, we describe four new adult patients with arthritis by S. agalactiae (two postmenopausal women and two men), two of them with affection of the sternoclavicular joint. We also review the medical literature.
Keywords:
Streptococcus agalactiae
Pyogenic artritis
Prosthetic joint
Sternoclavicular joint
Resumen
En su mayoría, las infecciones por estreptococos del grupo B de la clasificación de Lancefield (Streptococcus agalactiae) afectan a mujeres gestantes o durante el puerperio, así como a neonatos. Durante las tres últimas décadas, se han comunicado cada vez más infecciones invasivas en adultos sin relación con la gestación, aunque las artritis y osteomielitis siguen siendo muy poco frecuentes. En este artículo, describimos 4 nuevos pacientes adultos con artritis séptica por S. agalactiae (2 mujeres posmenopáusicas y 2 varones), dos de ellos con afectación esternoclavicular, y realizamos una revisión de la literatura.
Palabras clave:
Streptococcus agalactiae
Artritis piógena
Prótesis articular
Articulación esternoclavicular
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References
[1.]
J.W. Larsen, J.L. Sever.
Group B Streptococcus and pregnancy: a review.
Am J Obstet Gynecol, 198 (2008), pp. 440-448
[2.]
E. Persson, S. Berg, B. Trollfors, P. Larsson, E. Ek, E.M. Backhaus, et al.
Serotypes and clinical manifestations of invasive group B streptococcal infections in western Sweden 1998–2001.
Clin Microbiol Infect, 10 (2004), pp. 791-796
[3.]
L.A. Ranz.
Suppurative arthritis due to hemolytic streptococcus of Lancefield group B: case report.
Ann Intern Med, 13 (1940), pp. 1744-1747
[4.]
M. Nolla Joan, C. Gómez-Vaquero, X. Corbella, S. Ordóñez, C. García-Gómez, A. Pérez, et al.
Group B Streptococcus (Streptococcus agalactiae) pyogenic arthritis in nonpregnant adults.
Medicine (Balt), 82 (2003), pp. 119-128
[5.]
A. Binard, V. Devauchelle, K. Goulesque, S. Jousse, A. Saraux.
Group B streptococcal arthritis.
Joint Bone Spine, 73 (2006), pp. 465-468
[6.]
S. Casallo, A.I. Muñoz, F. Marcos, A. Aragón, A.I. Franco.
Poliartritis y osteomielitis vertebral debida a Streptococcus agalactiae.
Rev Clin Esp, 205 (2005), pp. 630-634
[7.]
J.J. Dubost, M.S.C. De Champs, J.M. Ristori, B. Sauvezie.
Streptococcal septic arthritis in adults. A study of 55 cases with literature review.
Joint Bone Spine, 71 (2004), pp. 303-311
[8.]
J.M. Duggan, G. Georgiadis, C. Van Gorp, J. Kleshinski.
Group B streptococcal prosthetic joint infections.
J South Orthop Assoc, 10 (2001), pp. 209-214
[9.]
D.C. Balderramo, A.M. Bertoli, M.A. Paganini, A. Zarate, J.C. Zlocowski, A. Alvarellos, et al.
Poliartritis y tenosinovitis grave por Streptococcus agalactiae en un paciente con hipoesplenia funcional.
Medicina (Buenos Aires), 62 (2002), pp. 337-338
[10.]
Ö. Dizdar, E. Alyamaç, I.K. Önal, Ö. Uzun.
Group B streptococcal facet joint arthritis: case report.
Spine, 30 (2005), pp. E414-E416
[11.]
N. Gómez, J. Ibáñez, M. González, A. Pintado, Y. Penelas-Cortés.
Artritis sépticas periféricas en adultos. Estudio epidemiológico en un área sanitaria gallega.
An Med Interna, 18 (2001), pp. 573-577
[12.]
F. Gavet, A. Tournadre, M. Soubrier, J.M. Ristori, J.J. Dubost.
Septic arthritis in patients aged 80 and older: a comparison with younger adults.
J Am Geriatr Soc, 53 (2005), pp. 1210-1213
[13.]
J.J. Ross, H. Shamsuddin.
Strernoclavicular septic arthritis. Review of 180 cases.
Medicine (Balt), 83 (2004), pp. 139-148
[14.]
C.J.E. Kaandorp, H.J. Dinant, M.A.F.J. Van de Laar, H.J.B. Moens, A.P.A. Prins, B.A.C. Dijkmans.
Incidence and sources of native and prosthetic joint infection: a community based prospective survey.
Ann Rheum Dis, 56 (1997), pp. 470-475
[15.]
K.H. Yu, S.F. Luo, L.B. Liou, Y.J.J. Wu, W.P. Tsai, J.Y. Chen, et al.
Concomitant septic and gout arthritis: an analysis of 30 cases.
Rheumatology, 42 (2003), pp. 1062-1066
[16.]
E. Riera, L. Mateo, M. Sallés, R. Pérez.
Seudopodagra séptica por Streptococcus agalactiae.
Reumatol Clin, 2 (2006), pp. 324-326
[17.]
N. Pandya, K.Z. Accardi, C. Israelite.
Septic arthritis of the hip following group B psoas abscess in a postpartum patient resulting in total hip arthroplasty.
Internet J Orthop Surg, (2007), pp. 2
[18.]
H.C. Lee, Y.Y.E. Chong, Y.K. Cheng.
Invasive Streptococcus agalactiae septic arthritis as an inicial presentation of tonsillar carcinoma.
Singapore Med J, 48 (2007), pp. 678-681
[19.]
E. Valls, J. Alegre, J. Ivorra, J.A. Román, N. Fernández-Llanio, I. Chalmeta, et al.
Infección articular por Streptococcus agalactiae en adultos inmunocompetentes: presentación de dos casos.
Reumatol Clin, 4 (2008), pp. 155-158
[20.]
L. Mateo, J.M. Nolla, A. Rozadilla, J. Valverde, D. Roig.
Infectious arthritis in patients with rheumatoid arthritis.
Ann Rheum Dis, 51 (1992), pp. 402-403
[21.]
R.M. Fry.
Fatal infections by haemolytic Streptococcus group B.
Lancet, 1 (1938), pp. 199-201
[22.]
M.S. Edwars, C.J. Baker.
Group B streptococcal infections in elderly adults.
CID, 41 (2005), pp. 839-847
[23.]
N. Gómez, J.L. Ferreiro, A. Willich, R. Muñoz, E. Formigo, G. González.
Infecciones osteoarticulares por Streptococcus agalactiae. Aportación de 4 casos.
Enferm Infecc Microbiol Clin, 13 (1995), pp. 99-103
[24.]
J.M. García-Lechuz, P. Bachiller, F.J. Vasallo, P. Muñoz, B. Padilla, E. Bouza.
Group B streptococcal osteomyelitis in adults.
Medicine (Balt), 78 (1999), pp. 191-199
[26.]
M.S. Wu, S.S. Chang, S.H. Lee, C.C. Lee.
Pyogenic sacroiliitis: a comparison between paediatric and adult patients.
Rheumatology, 46 (2007), pp. 1684-1687
[27.]
V. Chanet, M. Soubrier, J.M. Ristori, P. Verrelle, J.J. Dubost.
Septic arthritis as a late complication of carcinoma of the breast.
Rheumatology, 44 (2005), pp. 1157-1160
[28.]
J. Narváez, C. Pérez, F.J. Castro, J. Vilaseca.
Group B streptococcal spondylodiscitis in adults: 2 case reports.
Joint Bone Spine, 71 (2004), pp. 338-343
[29.]
P. Fernández-Viladrich, J.M. García-Lechuz, M. Riera.
Guía de recomendaciones para el diagnóstico y tratamiento de las infecciones asociadas a biomateriales,
[30.]
E. Naredo, F. Pozo, C. Campos, J. Uson, A. García Perea, M. Martín-Mola.
Streptococcus agalactiae septic arthritis associated with condrocalcinosis in a patient without predisposing systemic disease.
Clin Exp Rheumatol, 12 (1994), pp. 578-579
[31.]
S.M. Borchardt, J.H. De Busscher, P.A. Tallman, S.D. Manning, C.F. Marrs, T.A. Kurzynski, et al.
Frequency of antimicrobial resistance among invasive and colonizing Group B streptococcal isolates.
B M C Infect Dis, 6 (2006), pp. 57
[32.]
K. Kimira, S. Suzuki, J. Wachino, H. Kurokawa, K. Yamane, N. Shibata, et al.
First molecular characterization of group B streptococci with reduced penicillin susceptibility.
Antimicrob Agents Chemother, 52 (2008), pp. 2890-2897
[33.]
E. Miró, M. Rebollo, A. Rivera, M.T. Álvarez, F. Navarro, B. Mirelis, et al.
Streptococcus agalactiae altamente resistente a fluorquinolonas.
Enferm Infecc Microbiol Clin, 24 (2006), pp. 562-563
[34.]
M. Puliti, V. Nizet, C. Von Hunolstein, F. Bistoni, P. Mosci, G. Orefici, et al.
Severity of group B streptococcal arthritis is correlated with beta-hemolysin expression.
J I D, 182 (2000), pp. 824-832
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