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Assessing Respiratory Immune Responses to Haemophilus Influenzae
Published on: June 29, 2021
Prepatellar Septic Bursitis from Haemophilus influenzae After Penetrating Trauma from Broken Glass: A Case Report
Vincent R Morrow1, Nicholas L Hudock1, Jessica E Johnson2
1Department of Orthopaedics, West Virginia University, Morgantown, West Virginia.
Case:
An 18-year-old male college student presented with persistent right knee pain 1 week after falling onto broken glass. Clindamycin therapy failed, and Emergency Department evaluation revealed knee pain with drainage near the inferior patella. Magnetic resonance imaging demonstrated a prepatellar abscess which was treated with operative irrigation and debridement, and he was discharged on trimethoprim-sulfamethaxol. Cultures grew Haemophilus influenzae, prompting transition to oral amoxicillin-clavulanic acid, which resulted in clinical improvement and sustained resolution at 2-year follow-up.
Conclusion:
This case highlights the critical role of curiosity and details in exploring a patient's history as well as culture-guided therapy in persistent or atypical infection presentations.
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