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

Kanra G., Secmeer G., Toyran M., Cengiz A., Degertekin Y., Kara A.

TURKISH JOURNAL OF PEDIATRICS, cilt.42, sa.2, ss.151-154, 2000 (SCI İndekslerine Giren Dergi) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 42 Konu: 2
  • Basım Tarihi: 2000
  • Sayfa Sayıları: ss.151-154


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.