Salmonella septic arthritis complicating rheumatoid arthritis in a patient with total knee replacement
Medical Principles and Practice. 1999; 8 (3): 245-250
Dans Anglais
| IMEMR
| ID: emr-51815
ABSTRACT
Objective and Importance Salmonella septic arthritis [SSA] in any age group is a relatively rare disease. The prime objective of this communication is to report a relatively uncommon presentation of SSA in a prosthetic knee joint of a patient with rheumatoid arthritis. Clinical Presentation We report a 51-year-old lady with rheumatoid arthritis and total knee replacement who, while on methotrexate and azathioprine, developed Salmonella enteritidis bacteraemia complicated by septic monoarthritis of the left prosthetic knee. The same organism, using pulsed-field gel electrophoresis typing method, was isolated from the blood, joint aspirate and stool. Intervention She was aggressively treated with antibiotics by giving the maximum dose of ceftriaxone, 2 g intravenously every 8 h for 4 weeks. In addition, close drainage with syringe and needle was also done on a few occasions. She responded well to this regimen. Follow-up for approximately 1 year at the clinic has been uneventful. SSA in a patient with a history of diarrhoea and a recent visit to the Indian subcontinent should be investigated for salmonella infection. Adequate antibiotic therapy, with repeated close drainage of the joint, is recommended for SSA in a prosthetic joint
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Indice:
Méditerranée orientale
Sujet Principal:
Salmonella
/
Salmonella enteritidis
/
Salmonelloses
/
Arthrite infectieuse
/
Arthroplastie prothétique de genou
/
Prothèse de genou
Type d'étude:
Enquête cas-témoins / Études cas/témoins
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Med. Princ. Pract.
Année:
1999
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