Clinical Presentation of Staphylococcus epidermidis Septic Arthritis Following Anterior Cruciate Ligament Reconstruction
The Journal of Korean Knee Society
; : 46-51, 2012.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-759041
Responsible library:
WPRO
ABSTRACT
PURPOSE:
This study evaluated the clinical presentations of Staphylococcus epidermidis (S. epidermidis) septic arthritis after arthroscopic anterior cruciate ligament reconstruction (ACLR). MATERIALS ANDMETHODS:
Between September 2006 and February 2008, S. epidermidis septic arthritis developed in six patients following arthroscopic ACLR. We reviewed the medical records retrospectively and interviewed the patients.RESULTS:
The average interval between ACLR and symptom onset was 4.7 days (range, 2 to 8 days). Local warmth, swelling limited knee motion and general malaise were observed in varying degrees in all the patients. The fever was generally slight with an intermittent spiking pattern. Postoperative erythrocyte sedimentation rate and C-reactive protein were elevated. After the development of infection, the joint was aspirated in all cases. The white blood cell count was at least 22,400, with the presence of 80 to 90% of polymorphonuclear cells. All the patients had a few Gram-positive cocci and positive cultures for S. epidermidis.CONCLUSIONS:
The symptoms, signs and laboratory findings of S. epidermidis septic arthritis following ACLR are nonspecific with various clinical presentations. So the diagnosis is often delayed. Positive gram staining can be used to confirm septic arthritis. Careful observation for septic arthritis is advised in case of presence of any abnormality after ACLR.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Staphylococcus
/
Staphylococcus epidermidis
/
Blood Sedimentation
/
C-Reactive Protein
/
Arthritis, Infectious
/
Medical Records
/
Retrospective Studies
/
Anterior Cruciate Ligament
/
Gram-Positive Cocci
/
Fever
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
The Journal of Korean Knee Society
Year:
2012
Document type:
Article