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Knee Arthrocentesis in Adults
Published on: February 25, 2022
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Knee Septic Arthritis Caused by Pantoea agglomerans
Christos Koutserimpas1, Dimitrios Kotzias1, Symeon Naoum1
1Department of Orthopaedics and Traumatology, "251" Hellenic Air Force General Hospital, Athens, Greece.
Journal of Orthopaedic Case Reports
|April 14, 2023
Summary
A rare case of septic knee arthritis caused by Pantoea agglomerans in a 67-year-old male was treated with surgical debridement and targeted antibiotics. Prompt microbiological diagnosis is crucial for effective treatment of unusual septic arthritis pathogens.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Microbiology
Background:
- Septic arthritis typically involves common bacteria, affecting native joints.
- Pantoea agglomerans is an unusual cause of septic arthritis, rarely reported in joint infections.
Observation:
- A 67-year-old male presented with septic knee arthritis.
- Initial arthroscopic debridement was followed by open surgical debridement due to persistent symptoms.
- Cultures identified Pantoea agglomerans and Streptococcus agalactiae.
Findings:
- The patient received targeted antimicrobial therapy, including intravenous and oral linezolid and ciprofloxacin.
- Successful treatment involved a combination of surgical intervention and appropriate antibiotics.
Implications:
- This case highlights the importance of microbiological identification for treating rare pathogens in septic arthritis.
- Delayed diagnosis and inadequate treatment of septic arthritis can lead to severe patient consequences.
- Accurate identification of causative organisms is essential for effective antimicrobial selection and improved patient outcomes.
Keywords:
Native joint infectionPantoea agglomeransarthroscopic treatmentknee infectionseptic kneesynovitisMore Related Videos
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