The Turkish Journal of Pediatrics (Apr 2000)

Salmonella septic arthritis in a patient with acute idiopathic thrombocytopenic purpura treated with steroid

  • G Kanra,
  • G Seçmeer,
  • M Toyran,
  • A B Cengiz,
  • Y Değertekin,
  • A Kara

Journal volume & issue
Vol. 42, no. 2

Abstract

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Salmonella has three clinical presentations: self-limiting gastroenteritis, a systemic syndrome (enteric or typhoid fever), and bacteremia with focal infection. Hematogenous infections can cause focal lesions, but unusual manifestations occur more often when predisposing factors such as T cell defect, hemolytic disorders (sickle cell disease, malaria) or trauma are present. Salmonella tend to invade bones and joints. There is no mention of acute idiopathic (immune) thrombocytopenic purpura as a predisposing factor for salmonella septic arthritis; however there are reports about the importance of platelets for the immune response. Here we present a case of Salmonella enteritidis septic arthritis following acute idiopathic (immune) thrombocytopenic purpura in a 15-year-old female patient who has been on steroid therapy for the last two weeks.