Wrist Septic Arthritis Due to Streptococcus pneumoniae Revealing a Selective Immunoglobulin G4 Subclass Deficiciency: A Case Report


The pneumococcal septic arthritis is uncommon in healthy adults. In most cases, it occurs in patients with immune deficiency. Its exceptional location at the wrist can maintain doubt with rheumatic causes which are more frequent. IgG4 deficiency found in this patient was the only cause that could be impugned. We report the case of a young woman of 46 years without any evident cause of immunodeficiency and any particular risk factor, managed for septic arthritis of the wrist due to Streptococcus pneumoniae. This case without any apparent risk factors demonstrates that pneumococcal infection in a more distant articulation of the ENT is still possible. Scan has been a very significant contribution in confirming the positive diagnosis that leads to surgical drainage. The approach of the systematic search for the gateway must be done. In the study of the patient’s immune status, the realization of the protein profile could be interesting and then guide the practitioner in the decision to vaccinate the patient against Streptococcus pneumoniae if he was not. We recommend looking always for a cause of immunodeficiency including primary Ig defiencies even among adult.

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Walla, A. , Abalo, A. and Kolou, M. (2015) Wrist Septic Arthritis Due to Streptococcus pneumoniae Revealing a Selective Immunoglobulin G4 Subclass Deficiciency: A Case Report. Open Journal of Orthopedics, 5, 350-354. doi: 10.4236/ojo.2015.511047.

Conflicts of Interest

The authors declare no conflicts of interest.


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