A Case of Bilateral Knee Septic Arthritis Caused by Pneumococcal Bacteremia / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 230-233, 2013.
Article
in Korean
| WPRIM
| ID: wpr-655459
ABSTRACT
Pneumococcus can cause pneumonia, sinusitis, infective endocarditis, meningitis and primary bacteremia. However, few reports in the literature show bilateral septic arthritis with pneumococcal bacteremia. We report on a case of a 78-year old woman who presented with fever, pain and swelling in both knees. Both knee fluid aspirates were purulent with thick viscosity, and the gram stain revealed gram positive cocci in chains. The patient underwent emergent washing and arthroscopic debridement, followed with empirical antibiotics treatment. Two out of two blood cultures were positive for penicillin-susceptible Streptococcus pneumonia. Synovial fluid cultures were also positive for S. pneumoniae. The patient was treated with intravenous ceftriaxone for 4 weeks. Bilateral knee septic arthritis with pneumococcal bacteremia is rarely reported. Here we report on the case with a review of the literature.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Sinusitis
/
Streptococcus
/
Streptococcus pneumoniae
/
Synovial Fluid
/
Viscosity
/
Ceftriaxone
/
Arthritis, Infectious
/
Bacteremia
/
Gram-Positive Cocci
Limits:
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Critical Care Medicine
Year:
2013
Type:
Article
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