{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:36:58Z","timestamp":1789799818604,"version":"4.0.1"},"reference-count":12,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Inst. Med. trop. S. Paulo"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p>We present a case of a 16-year-old male patient with sudden-onset, rash, arthritis and meningitis by Neisseria meningitidis one week after an acute upper respiratory infection. On the 10th day of treatment followed by neurological and arthritis clinical improvement, he presented once again a tender and swollen left knee with a moderate effusion, and active and passive range of motion was severely limited secondary to pain, and when he was submitted to surgical drainage and synovial fluid analysis he showed inflammatory characteristics. A non-steroidal anti-inflammatory drug was taken for five days with complete improvement of symptoms. The case is notable for its combination of features of septic and immune-mediated arthritis, which has rarely been reported in the same patient.<\/jats:p>","DOI":"10.1590\/s0036-46652012000200009","type":"journal-article","created":{"date-parts":[[2012,4,11]],"date-time":"2012-04-11T11:46:09Z","timestamp":1334144769000},"page":"109-112","source":"Crossref","is-referenced-by-count":9,"title":["Infection and immune-mediated meningococcal-associated arthritis: combination features in the same patient"],"prefix":"10.1590","volume":"54","author":[{"given":"Karim Yaqub","family":"Ibrahim","sequence":"first","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noemia Barbosa","family":"Carvalho","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Luisa do Nascimento","family":"Moura","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Maia de Toledo","family":"Piza","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evanthia Vetos","family":"Mimicos","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeh-Li","family":"Ho","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Oscar de Siqueira","family":"Fran\u00e7a","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/j.1445-5994.2007.01560.x","article-title":"Meningococcal-associated arthritis: infection versus immune-mediated","volume":"38","author":"Bhavnagri S","year":"2008","journal-title":"Intern Med J"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/00006454-199703000-00018","article-title":"Primary meningococcal arthritis","volume":"16","author":"Dillon M","year":"1997","journal-title":"Pediatr Infect Dis J","ISSN":"https:\/\/id.crossref.org\/issn\/0891-3668","issn-type":"print"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1136\/adc.88.10.927","article-title":"Immune complex associated complications in the subacute phase of meningococcal disease: incidence and literature review","volume":"88","author":"Goedvolk CA","year":"2003","journal-title":"Arch Dis Child","ISSN":"https:\/\/id.crossref.org\/issn\/0003-9888","issn-type":"print"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1136\/ard.44.11.790","article-title":"Clinical features of meningococcal arthritis: a report of four cases","volume":"44","author":"Kidd BL","year":"1985","journal-title":"Ann Rheum Dis","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4967","issn-type":"print"},{"key":"ref5","first-page":"531","article-title":"Recurrent sterile arthritis following primary septic meningococcal arthritis","volume":"12","author":"Mader R","year":"1994","journal-title":"Clin Exp Rheumatol","ISSN":"https:\/\/id.crossref.org\/issn\/0392-856X","issn-type":"print"},{"key":"ref6","series-title":"Doen\u00e7a Meningoc\u00f3cica no Brasil"},{"key":"ref7","series-title":"Informe Regional de SIREVA II, 2009: datos por pa\u00eds y por grupos de edad sobre las caracter\u00edsticas de los aislamientos de Streptococcus pneumoniae, Haemophilus influenzae y Neisseria meningitidis en procesos invasores","year":"2010"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1056\/NEJM200105033441807","article-title":"Meningococcal disease","volume":"344","author":"Rosenstein NE","year":"2001","journal-title":"N Engl J Med","ISSN":"https:\/\/id.crossref.org\/issn\/0028-4793","issn-type":"print"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1086\/345954","article-title":"Pneumococcal septic arthritis: review of 190 cases","volume":"36","author":"Ross JJ","year":"2003","journal-title":"Clin Infect Dis","ISSN":"https:\/\/id.crossref.org\/issn\/1058-4838","issn-type":"print"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1093\/clinids\/2.6.880","article-title":"Arthritis in disease due to Neisseria meningitidis","volume":"2","author":"Schaad UB","year":"1980","journal-title":"Rev Infect Dis","ISSN":"https:\/\/id.crossref.org\/issn\/0162-0886","issn-type":"print"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1093\/milmed\/162.11.769","article-title":"Primary meningococcal arthritis: case report and review of literature","volume":"162","author":"Wells M","year":"1997","journal-title":"Mil Med","ISSN":"https:\/\/id.crossref.org\/issn\/0026-4075","issn-type":"print"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1136\/bmj.2.5869.733","article-title":"Allergic complications of meningococcal disease: I. Clinical aspects","volume":"2","author":"Whittle HC","year":"1973","journal-title":"Br Med J","ISSN":"https:\/\/id.crossref.org\/issn\/0007-1447","issn-type":"print"}],"container-title":["Revista do Instituto de Medicina Tropical de S\u00e3o Paulo"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rimtsp\/v54n2\/09.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T04:27:51Z","timestamp":1561609671000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0036-46652012000200009&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,4]]}},"alternative-id":["S0036-46652012000200009"],"URL":"https:\/\/doi.org\/10.1590\/s0036-46652012000200009","relation":{},"ISSN":["0036-4665"],"issn-type":[{"value":"0036-4665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4]]}}}