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Staphylococcus epidermidis septic arthritis post arthroscopy.

B Toye, J Thomson, J Karsh

Clinical and Experimental Rheumatology

|April 1, 1987

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A man developed a painful knee infection after arthroscopy, caused by Staphylococcus epidermidis. Prompt antibiotic treatment led to recovery, highlighting this bacterium as a potential cause of joint infections.

Area of Science:

Orthopedic Surgery
Infectious Diseases
Microbiology

Background:

Post-arthroscopy knee swelling can indicate infection.
Staphylococcus epidermidis is a known cause of prosthetic joint infections.

Observation:

A 61-year-old male presented with acute right knee pain and swelling post-arthroscopy.
Synovial fluid analysis showed significant polymorphonuclear leukocytosis (51,600 X 10(6) cells/litre).

Findings:

Culture of synovial fluid identified Staphylococcus epidermidis.
Intravenous cloxacillin therapy for 4 weeks resulted in a favorable clinical response.

Implications:

Staphylococcus epidermidis should be considered a potential pathogen in native joint infections, not solely prosthetic ones.

Related Experiment Videos

Early diagnosis and appropriate antibiotic therapy are crucial for managing post-arthroscopic joint infections.