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Updated: Sep 4, 2025

Knee Arthrocentesis in Adults
Published on: February 25, 2022
Monomicrobial Joint Infection by Leclercia adecarboxylata in an Immunocompetent Patient After Knee Arthroscopy: A
Nicholas A Householder1, Chandler S Harris2, Katherine M Kugler2
1Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas.
Case:
A 54-year-old immunocompetent man presented to the office with severe right knee pain and swelling 27 days after knee arthroscopy. Additional diagnostics identified a monomicrobial infection of the right knee joint by the bacterium Leclercia adecarboxylata, which was later confirmed by repeated aspiration of the joint and culture of the aspirated fluid.
Conclusion:
This case report details a postoperative monomicrobial infection with L. adecarboxylata after a knee arthroscopy in an immunocompetent host. Although infection by this bacterium is rare, this case demonstrates the possibility of L. adecarboxylata infection in the knee joint after orthopaedic surgery.
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