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Acromioclavicular Septic Arthritis Caused by Veillonella parvula
Marc Prod'homme1, Gilles Pfander2,3, Patricia Pavese4
1Orthopaedic Surgery Department, La Tronche, France.
Abstract:
We hereby report the case of a primary acromioclavicular septic arthritis caused by Veillonella parvula. This bacteria is rare as a pathogen but is well known as a commensal of the lungs, vagina, mouth, and gastrointestinal tract of humans. However, it may turn as an opportunistic pathogen. It was isolated in blood culture and confirmed in biopsy specimen. The patient had complete recovery after surgical washout with second look at postoperative day two and targeted antibiotic treatment.
Insights
A rare bacterial cause of septic arthritis, Veillonella parvula, was identified in a primary acromioclavicular joint infection. Prompt surgical intervention and antibiotics led to complete patient recovery.
Area of Science:
- Microbiology
- Infectious Diseases
- Orthopedic Surgery
Background:
- Veillonella parvula is typically a commensal bacteria found in human body sites.
- Opportunistic infections by Veillonella parvula are infrequently reported.
- Septic arthritis of the acromioclavicular joint is a significant orthopedic concern.
Observation:
- A case of primary acromioclavicular septic arthritis is presented.
- The causative agent was identified as Veillonella parvula.
- The bacteria was detected in both blood cultures and biopsy samples.
Findings:
- Veillonella parvula, a rare pathogen, was successfully isolated and confirmed.
- The patient underwent surgical washout and received targeted antibiotic therapy.
- Complete recovery was achieved following the treatment regimen.
Implications:
- This case highlights Veillonella parvula as a potential opportunistic pathogen in septic arthritis.
- Effective management involves early diagnosis, surgical intervention, and appropriate antibiotic selection.
- Further research into the pathogenic potential of Veillonella parvula is warranted.
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