J Pediatr Infect Dis 2013; 08(04): 191-193
DOI: 10.3233/JPI-130404
Case Report
Georg Thieme Verlag KG Stuttgart – New York

E coli septic arthritis of the knee: A rare complication in pediatric lupus

Sumantra Sarkar
a   Department of Pediatric Medicine, IPGMER Kolkata, West Bengal, India
,
Sarbani Misra Roy
a   Department of Pediatric Medicine, IPGMER Kolkata, West Bengal, India
,
Madhumita Nandi
a   Department of Pediatric Medicine, IPGMER Kolkata, West Bengal, India
,
Rakesh Mondal
b   North Bengal Medical College, Darjeeling, West Bengal, India
› Author Affiliations

Subject Editor:
Further Information

Publication History

12 August 2013

01 October 2013

Publication Date:
28 July 2015 (online)

Abstract

Acute septic arthritis in association with systemic lupus Erythematosus (SLE) is uncommon and mostly caused by Gram positive bacteria. Escherichia coli (E coli) septic arthritis complicating lupus is extremely uncommon. The authors describe a case in a 10 year old Indian girl who had SLE with class II lupus nephritis and presented later with acute septic arthritis in her right knee. Although reported earlier in adult subjects, pediatric SLE complicated with E coli septic arthritis at this young age, to the best of authors’ knowledge has never been reported in world literature.