Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty.

Autor: Hollnagel K; Department of Orthopaedic Surgery, The University of Toledo Medical Center, USA., Willen J; Department of Orthopaedic Surgery, The University of Toledo Medical Center, USA., Ellis M; Department of Infectious Disease, The University of Toledo Medical Center, USA., Soleimanifard Y; Department of Pathology, The University of Toledo Medical Center, USA., Booth R; Department of Pathology, The University of Toledo Medical Center, USA., Nandi S; Department of Orthopaedics, University of Maryland School of Medicine, USA.
Jazyk: angličtina
Zdroj: Case reports in orthopedics [Case Rep Orthop] 2020 Mar 05; Vol. 2020, pp. 1392182. Date of Electronic Publication: 2020 Mar 05 (Print Publication: 2020).
DOI: 10.1155/2020/1392182
Abstrakt: Background: While Corynebacterium striatum and other Corynebacterium species were historically considered contaminants, they are recently being identified as pathogens with increasing frequency. Case Summary . We report the case of a 78-year-old gentleman with a three-year history of knee pain and established diagnosis of osteoarthritis referred for consideration for total knee arthroplasty. He had no knee pain with passive range-of-motion. Plain films demonstrated bony erosions atypical for osteoarthritis. Joint aspiration white blood cell count was 30,548/mm 3 , but multiple cultures were positive for C. striatum . The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin.
Conclusion: To our knowledge, this is the first report of chronic C. striatum septic arthritis of a native joint and only the third case of C. striatum septic arthritis of the knee. C. striatum . The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin. C. striatum . The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2020 Katharine Hollnagel et al.)
Databáze: MEDLINE
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