{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:37:00Z","timestamp":1789799820598,"version":"4.0.1"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,4,25]]},"abstract":"<jats:p>A previously healthy 18-year-old woman presented with an acutely painful, swollen right ankle joint, with similar symptoms subsequently developing in the right hip and right wrist. Microbiological samples from the ankle aspirate grew <jats:italic>Neisseria meningitidis<\/jats:italic>. She had had no preceding clinical symptoms of meningitis or previous contact with a patient with meningitis. She was treated with intravenous antibiotics and surgical drainage.<\/jats:p>\n               <jats:p>On follow-up, her symptoms had resolved, inflammatory markers had returned to normal and she has no long-term sequelae of septic arthritis. Primary meningococcal septic arthritis in the adult population is extremely uncommon, and makes up approximately 1% of all cases of primary septic arthritis.<\/jats:p>","DOI":"10.1136\/bcr-2017-223197","type":"journal-article","created":{"date-parts":[[2018,5,8]],"date-time":"2018-05-08T12:05:26Z","timestamp":1525781126000},"page":"bcr-2017-223197","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Primary meningococcal septic arthritis with multiple native joint involvement"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2124-607X","authenticated-orcid":false,"given":"Connor","family":"Boyle","sequence":"first","affiliation":[{"name":"Division of Health Sciences, University of Edinburgh, Edinburgh, UK"},{"name":"Department of Trauma and Orthopaedic Surgery, NHS Fife, Kirkcaldy, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, NHS Fife, Kirkcaldy, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Griffith","sequence":"additional","affiliation":[{"name":"Department of Microbiology, NHS Fife, Kirkcaldy, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Cowie","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, NHS Fife, Kirkcaldy, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,5,8]]},"reference":[{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2008.01.060145"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.2","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1053\/j.jfas.2013.12.019","article-title":"Primary meningococcal septic arthritis of the ankle joint: a case report","volume":"53","author":"Gee","year":"2014","journal-title":"J Foot Ankle Surg"},{"issue":"suppl_1","key":"2025082700073342000_2018.may07_1.bcr-2017-223197.3","doi-asserted-by":"crossref","DOI":"10.1093\/rheumatology\/keu096.019","article-title":"19.\u2003Primary Meningococcal Arthritis Presenting as Symmetrical Polyarthritis","volume":"53","author":"Kazmi","year":"2014","journal-title":"Rheumatology"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.4","first-page":"19","article-title":"Primary Meningococcal Arthritis of a native ankle joint","volume":"1","author":"Murphy","year":"2015","journal-title":"Bone Joint J"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.5","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.3.267"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.6","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/2.6.880"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.7","first-page":"553","article-title":"and Katsilambros N: Primary meningococcal arthritis: case report and review","volume":"20","author":"Giamarellos-Bourboulis","year":"2002","journal-title":"Clin Exp Rheumatol"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.8","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/RHU.0b013e31823ee3e6","article-title":"Acute polyarthritis as sole manifestation of meningococcal disease","volume":"18","author":"Rodr\u00edguez","year":"2012","journal-title":"J Clin Rheumatol"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.9","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/ccr3.151","article-title":"A very rare case of primary meningococcal arthritis in an adult male","volume":"3","author":"Nihonyanagi","year":"2015","journal-title":"Clin Case Rep"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.10","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1186\/s12879-017-2845-3","article-title":"Meningococcal arthritis and myopericarditis: a case report","volume":"17","author":"Steele","year":"2017","journal-title":"BMC Infect Dis"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.11","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.medcli.2016.03.025","article-title":"[Septic arthritis of the knee by Neisseria meningitidis serogroup W-135: First case reported in adults]","volume":"147","author":"Moll-Manzur","year":"2016","journal-title":"Med Clin"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.12","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-2193","article-title":"Effectiveness and Duration of Protection of One Dose of a Meningococcal Conjugate Vaccine","volume":"139","author":"Cohn","year":"2017","journal-title":"Pediatrics"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.13","unstructured":"Patient. Septic arthritis. https:\/\/patient.info\/doctor\/septic-arthritis-pro (accessed 19 Jun 2017)."},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.14","first-page":"1","article-title":"Primary meningococcal type C arthritis: a case report and literature review","volume":"2017","author":"Barahona","year":"2017","journal-title":"Case Rep Orthop"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.15","doi-asserted-by":"crossref","first-page":"87","DOI":"10.4103\/0255-0857.108743","article-title":"Primary meningococcal arthritis of sacroiliac joint: a rare case report","volume":"31","author":"Sahu","year":"2013","journal-title":"Indian J Med Microbiol"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.16","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-012-1610-1"},{"key":"2025082700073342000_2018.may07_1.bcr-2017-223197.17","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-011-1554-y"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223197","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:07:47Z","timestamp":1756278467000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223197"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,8]]},"references-count":17,"alternative-id":["10.1136\/bcr-2017-223197"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223197","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,8]]}}}