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Septic arthritis due to Cellulosimicrobium cellulans
César Magro-Checa1, Lara Chaves-Chaparro, Jorge Parra-Ruiz
1Department of Rheumatology, Hospital Universitario San Cecilio, Avda. Dr. Olóriz 16, 18012 Granada, Spain. cesar_magro@yahoo.es
Journal of Clinical Microbiology
|October 15, 2011
Summary
Cellulosimicrobium cellulans rarely causes human infections, typically in immunocompromised individuals. This case highlights septic arthritis from C. cellulans in an immunocompetent patient following a thorn injury.
Area of Science:
- Infectious Diseases
- Microbiology
- Orthopedic Surgery
Background:
- Cellulosimicrobium cellulans is a rare pathogen, primarily affecting immunocompromised individuals.
- Infections are frequently linked to the presence of foreign bodies.
- Septic arthritis is a serious joint infection requiring prompt diagnosis and treatment.
Observation:
- A palm tree thorn injury to the knee preceded the infection by 8 weeks.
- Despite no foreign objects being found during debridement, their presence was suspected.
- The patient was immunocompetent, deviating from typical C. cellulans infection profiles.
Findings:
- The first reported case of septic arthritis caused by Cellulosimicrobium cellulans in an immunocompetent patient.
- The infection was successfully treated with open debridement and suspected foreign body removal.
- This case expands the known clinical spectrum of C. cellulans infections.
Implications:
- Foreign body removal is crucial for treating C. cellulans infections, even in immunocompetent hosts.
- Clinicians should consider C. cellulans in cases of septic arthritis, especially after penetrating injuries.
- Further research is needed to understand the pathogenesis of C. cellulans in diverse patient populations.
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