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© 1993 British Society for Rheumatology

case-report

CHRONIC POLYARTHRLTIS DUE TO PSEUDOMONAS AERUGINOSA

H. A. E. M. VAN HEEREVELD*, P. L. C. M. VAN RIEL{dagger}, J. F. G. M. MEIS{ddagger} and A. M. HORREVORTS{ddagger}

*Departments of Internal Medicine, University Hospital Nijmegan The Netherlands
{dagger}Departments of Rheumatology, University Hospital Nijmegen The Netherlands
{ddagger}Departments of Medical Microbiology, University Hospital Nijmegen The Netherlands

We present a 45-year-old male patient with chronic obstructive lung disease treated with low-dose corticosteroids, who developed a chronic septic polyarthritis due to Pseudomonas aeruginosa following a surgical wound infection. Due to the mild synovitis and the absence of systemic signs of infection the diagnosis was delayed for nearly 2 years and resulted in severe joint destruction.

KEY WORDS: Septic polyarthritis, Delayed diagnosis, Protracted infection, Pseudomonas aeruginosa


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