Advertisement

Onset of Berger disease after Staphylococcus aureus infection: Septic arthritis after anterior cruciate ligament reconstruction

  • Enrico Pola
    Affiliations
    Department of Orthopedics (E.P., G.L., V.D., A.D.) and the Department of Internal Medicine (F.C., A.G.), A. Gemelli University Hospital, Università Cattolica del Sacro Cuore, School of Medicine, Rome, Italy
    Search for articles by this author
  • Giandomenico Logroscino
    Affiliations
    Department of Orthopedics (E.P., G.L., V.D., A.D.) and the Department of Internal Medicine (F.C., A.G.), A. Gemelli University Hospital, Università Cattolica del Sacro Cuore, School of Medicine, Rome, Italy
    Search for articles by this author
  • Vincenzo De Santis
    Affiliations
    Department of Orthopedics (E.P., G.L., V.D., A.D.) and the Department of Internal Medicine (F.C., A.G.), A. Gemelli University Hospital, Università Cattolica del Sacro Cuore, School of Medicine, Rome, Italy
    Search for articles by this author
  • Filippo Canducci
    Affiliations
    Department of Orthopedics (E.P., G.L., V.D., A.D.) and the Department of Internal Medicine (F.C., A.G.), A. Gemelli University Hospital, Università Cattolica del Sacro Cuore, School of Medicine, Rome, Italy
    Search for articles by this author
  • Antonio Delcogliano
    Affiliations
    Department of Orthopedics (E.P., G.L., V.D., A.D.) and the Department of Internal Medicine (F.C., A.G.), A. Gemelli University Hospital, Università Cattolica del Sacro Cuore, School of Medicine, Rome, Italy
    Search for articles by this author
  • Antonio Gasbarrini
    Affiliations
    Department of Orthopedics (E.P., G.L., V.D., A.D.) and the Department of Internal Medicine (F.C., A.G.), A. Gemelli University Hospital, Università Cattolica del Sacro Cuore, School of Medicine, Rome, Italy
    Search for articles by this author

      Abstract

      Septic arthritis is rare in patients undergoing knee arthroscopic surgery. If the infection is due to Staphylococcus aureus, patients might experience fever, severe clinical syndromes, and extra-articular manifestations, including vasculitis and glomerulonephritis. We describe a case of onset of immunoglobulin A nephropathy (Berger disease) after S aureus septic arthritis complicating an anterior cruciate ligament surgical reconstruction. The patient had no previous history of renal disease, and renal function returned to normal after resolution of the knee infection. S aureus infection has been associated with several glomerular diseases, but this is the first report of the infection causing immunoglobulin A nephropathy. In addition, this is the first description of Berger disease after arthroscopic treatment, providing evidence that this disease might complicate the clinical course of orthopedic surgery.
      Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 4 (April), 2003: pp E29

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Arthroscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Davin JC
        • Weening DJC
        Berger disease: Thirty years later.
        Eur J Pediatr. 1999; 158: 437-443
        • Clarkson AR
        IgA nephropathy: History classification and geographic distribution.
        in: IgA nephropathy. Martinus Nijhoff Publishing, Boston1987: 1-8
        • Beaufils M
        • Morel-Maroger L
        • Sraer JD
        • et al.
        Acute renal failure of glomerular origin during abscesses.
        N Engl J Med. 1976; 295: 185-189
        • Chesney RW
        • Chesney PJ
        • Davis JP
        • Segar WE
        Renal manifestations of the staphylococcal toxic-shock syndrome.
        Am J Med. 1981; 71: 583-588
        • Yoh K
        • Kobayashi M
        • Hirayama A
        • et al.
        A case of superantigen-related glomerulonephritis after methicillin-resistant Staphylococcus aureus (MRSA) infection.
        Clin Nephrol. 1997; 48: 311-316
        • To KF
        • Choi PC
        • Szeto CC
        • et al.
        Outcome of IgA nephropathy in adults graded by chronic histological lesions.
        Am J Kidney Dis. 2000; 35: 392-400
        • McAllister DR
        • Parker RD
        • Cooper AE
        • et al.
        Outcomes of postoperative septic arthritis after anterior cruciate ligament reconstruction.
        Am J Sports Med. 1999; 27: 562-570
        • Armstrong RW
        • Bolding F
        • Joseph R
        Septic arthritis following arthroscopy: Clinical syndromes and analysis of risk factors.
        Arthroscopy. 1992; 8: 213-223
        • Emancipator SN
        Primary and secondary forms of IgA nephritis and Schonlein-Henoch syndrome.
        in: Pathology of the kidney. Little, Brown, Toronto1993: 389-476