A Case of Bilateral Knee Septic Arthritis Caused by Pneumococcal Bacteremia / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 230-233, 2013.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Sinusite
/
Streptococcus
/
Streptococcus pneumoniae
/
Líquido Sinovial
/
Viscosidade
/
Ceftriaxona
/
Artrite Infecciosa
/
Bacteriemia
/
Cocos Gram-Positivos
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2013
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS