"My foot hurts": A flare of rheumatoid arthritis?

Manish Dugar, Wayne A. Rankin, Emily Rowe, Malcolm D. Smith

    Research output: Contribution to journalArticlepeer-review

    11 Citations (Scopus)


    A 56-year-old man with a history of rheumatoid arthritis presented with a 2-day history of worsening pain in his left foot. Treatment with high-dose steroids was of no benefit, hence a diagnosis of septic arthritis was considered. However, the patient's condition deteriorated despite empirical antibiotic therapy. Following persistent investigation, the cause was identified as a fastidious Legionella longbeachae infection, and appropriate antibiotic therapy led to complete resolution of the sepsis. This emphasises the importance of considering infections with atypical organisms in patients on immunosuppressive therapy.

    Original languageEnglish
    Pages (from-to)392-393
    Number of pages2
    JournalMedical Journal of Australia
    Issue number7
    Publication statusPublished - 6 Apr 2009


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