Septic arthritis following mumps in a case of steroid dependent nephrotic syndrome: a case report

Authors

  • Karan J. Bhoomraddi Department of Pediatrics, D. Y. Patil Medical College and Hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Vaishnavi G. Koshatwar Department of Pediatrics, D. Y. Patil Medical College and Hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Prithi Inamdar Department of Pediatrics, D. Y. Patil Medical College and Hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Rajesh K. Rai Department of Pediatrics, D. Y. Patil Medical College and Hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Ravi P. Naulakha Department of Pediatrics, D. Y. Patil Medical College and Hospital, Nerul, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20240352

Keywords:

Nephrotic syndrome, Septic arthritis, Mumps

Abstract

Nephrotic syndrome is a common renal disorder with an incidence of 20 to 40 per million population in developed countries. Children with nephrotic syndrome are especially susceptible to infections such as cellulitis, spontaneous bacterial peritonitis, and bacteremia. However, septic arthritis is an extremely rare complication in nephrotic syndrome. A 6-year-old girl with steroid dependent nephrotic syndrome relapsed following mumps parotitis and developed swelling of the right knee with restricted movements. Ultrasonography (USG) and magnetic resonance imaging (MRI) were suggestive of septic arthritis. The child responded to intravenous Vancomycin and Ceftazidime. We present a rare complication of nephrotic syndrome as septic arthritis, previously reported only once.

 

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References

Bagga A, Srivastava RN. Paediatric Nephrology 5th edition. New Delhi: Jaypee. 2011;195-234.

Kleigman RM, St Geme JW, Blum NJ. Nelson Textbook of Pediatrics 21st edition. Philadelphia: Elsevier. 2020;2752-3678.

Kumar M, Ghunawat J, Saikia D, Manchanda V. Incidence and risk factors for major infections in hospitalized children with nephrotic syndrome. J Bras Nefrol. 2019;41(4):526-33.

Pääkkönen M. Septic arthritis in children: diagnosis and treatment. Pediatric Health Med Ther. 2017;8:65-8.

Gupta S, Nirmal JM, Lennox CM. Hip effusion in nephrotic syndrome mimicking septic arthritis. Eur J Pediatr. 1993;152(2):172.

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Published

2024-02-22

How to Cite

Bhoomraddi, K. J., Koshatwar, V. G., Inamdar, P., Rai, R. K., & Naulakha, R. P. (2024). Septic arthritis following mumps in a case of steroid dependent nephrotic syndrome: a case report. International Journal of Contemporary Pediatrics, 11(3), 329–331. https://doi.org/10.18203/2349-3291.ijcp20240352

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Section

Case Reports