Meningeal arthritis

Nrct: Symptoms Of Meningeal Compression And Torquing (Health And Medical Video July 2018).

Meningeal arthritis is an acute bacterial arthritis caused by Neisseria meningitidis and Neisseria catarrhalis. As a rule, it is a complication of epidemic meningitis, often with the development of sepsis.

Most often meningeal arthritis is found in young children. His manifestations begin to develop from the first or second day of the disease, rarely - until the sixth to seventh day. Suffer one or more joints, arthralgia can be migratory. Joints are swollen, painful, hyperemic, the temperature above them is elevated.

Possible occurrence of hemorrhagic rash, and in severe forms of the disease, even intracranial hemorrhage (hemarthrosis), as well as arterial hemorrhage with skin rash against the background of the phenomena of infectious and toxic shock.

The development of infectious-toxic shock is due to the presence in the blood of a large number of tissue enzymes, the products of the decomposition of bacteria and the release of blood in their enzymes, which leads to a disruption of blood clotting and worsens the condition of the patients.

The course of the disease

If treatment is started on time and intensive antibiotic therapy is performed, polyarthritis quickly passes without any residual effects. However, in some patients, arthritis is combined with inflammation of adjacent adjacent ligaments, tendons surrounding their tissues and articular bags, in the form of tenosinovitis and bursitis in the foot and brush area.

In severe disease, as well as later started treatment in patients may develop septic arthritis, which is accompanied by severe pain and other signs of inflammation, but intensive treatment gives fast inverse dynamics.

In some cases, meningeal arthritis can develop not in the early days of the disease, but in the period already begins recovery. Recently, the development of acute arthritis is noted without other obvious manifestations of meningeal infection.

Diagnosis of meningeal arthritis

Diagnosis includes a number of tests conducted for any meningeal infections:

  • General blood test;
  • Nasopharyngeal swab for bacteriological examination;
  • Serological research;
  • Lumbar puncture with liquor investigation (cerebrospinal fluid).

To clarify the condition of the joints, carry out the following studies:

  • Ultrasound examination of joints and para-articular tissues;
  • Magnetic resonance imaging of joints;
  • Joint puncture with aspiration of synovial fluid and its subsequent biochemical, cytological and serological research.

Treatment of meningeal arthritis

Treatment is carried out only in the conditions of the hospital:

  • Antibacterial therapy;
  • Removal of pain syndrome;
  • Anti-inflammatory therapy;
  • Removal of symptoms of intoxication;
  • Symptomatic therapy.

Meningeal arthritis

Category Of Medical Issues: Diseases

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