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Case report
Child with serogroup W135 primary meningococcal septic arthritis
  1. AR Fidder1,
  2. Bas de Hartog2 and
  3. Tina Faber1
  1. 1 Department of Pediatrics, Medisch Centrum Leeuwarden, Leeuwarden, The Netherlands
  2. 2 Department of Orthopaedic Surgery, Medisch Centrum Leeuwarden, Leeuwarden, The Netherlands
  1. Correspondence to Dr AR Fidder, fidderar{at}


Over the last decade, there has been a concerning increase in the number of invasive meningococcal serotype W infections in Europe. Although sepsis and meningitis are the most feared complications, focal complications of systemic disease such as pneumonia, pericarditis and arthritis can also occur. We present a rare case of isolated meningococcal W135 arthritis of the hip without invasive meningococcal disease in a 6-year-old patient.

  • bone and joint infections
  • paediatrics
  • infectious diseases
  • osteoarthritis
  • orthopaedics

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  • Contributors ARF: developed the initial draft of this submission. TF and BdH: revised and edited it. All of the authors approved the final copy of this submission for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental\guardian consent obtained.

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