Neonatal arthritis due to Proteus vulgaris.

نویسنده

  • A BORDANOVITCH
چکیده

The main feature of this case is a bilateral purulent sterno-clavicular arthritis, which was secondary to umbilical infection. The case is described in view of the rarity of Proteus vulgaris infections of this type. The umbilicus is a frequent site of entrance of pyogenic infection in the neonatal period, and the full development ofsuch an infection may manifest itself in many ways, inchlding jaundice, meningitis, septicaemia, etc. Proteus vulgris is normally found in decomposing organic natter of animal origin, such as sewage. It is also found in human faeces when normal intestinal mechanism is deranged, and Neter (1945) even found that 40 per cent. of normal infants under the age of one year, with no history of diarrhoea or similar disturbance, had this organism cultured from their rectal swabs. It is of interest to note that Topley and Wilson (1946) give Proteus vulgaris as the fourth commonest organism to wound infection. Staphylococcus aureus, Streptococcus pyogenes, and Bacillus coli preceded Proteus vulgaris in that order. The umbilicus of a newly-born infant is liable to similar infection. Proteus vulgaris, when pathogenic, is responsible for inflamnatory lesions such as cystitis. It also may give rise to abscess formation.

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عنوان ژورنال:
  • Archives of disease in childhood

دوره 23 113  شماره 

صفحات  -

تاریخ انتشار 1948