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Musculoskeletal infections associated with Citrobacter koseri.
T A Kwaees1, Z Hakim1, C Weerasinghe1
1Blackpool Teaching Hospitals NHS Foundation Trust , UK.
Annals of the Royal College of Surgeons of England
|July 15, 2016
Summary
Citrobacter koseri rarely causes musculoskeletal infections, but can lead to aggressive septic arthritis. Prompt diagnosis and treatment with antibiotics and surgery are crucial for recovery.
Area of Science:
- Microbiology
- Infectious Diseases
- Orthopedics
Background:
- Citrobacter koseri is a known pathogen causing central nervous system infections in children.
- Musculoskeletal infections due to C. koseri are exceptionally rare, with only 14 cases previously documented.
Observation:
- This report details the first documented case of C. koseri-induced septic arthritis of the knee.
- A literature review identified 14 cases of C. koseri musculoskeletal infections, with 5 linked to surgery and 5 involving septic joints.
Findings:
- Most C. koseri musculoskeletal infections necessitate surgical intervention.
- Prolonged antibiotic therapy, particularly newer generation beta-lactams and cephalosporins, led to successful outcomes in all reviewed cases.
Implications:
- C. koseri infections can complicate orthopedic procedures, presenting aggressively and posing diagnostic challenges.
- Early recognition, appropriate antibiotic selection, and timely surgical management are key for effective treatment of C. koseri musculoskeletal infections.
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