Prosthetic Joint Infection by Streptococcus lutetiensis (Bovis) With Noncancerous Polyps and Negative Blood Cultures: A Case Report.
| Autor: | Shanti I; Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA., Samardali M; Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA., Gebremedhen AI; Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Nov 22; Vol. 16 (11), pp. e74264. Date of Electronic Publication: 2024 Nov 22 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.74264 |
| Abstrakt: | Prosthetic joint infection (PJI), caused by Streptococcus bovis group (SBG), is uncommon and related to colorectal cancer. We present here a case of an 84-year-old male who had a past medical history of chronic obstructive pulmonary disease (COPD), congestive heart failure, pulmonary arterial hypertension, iron deficiency anemia, chronic kidney disease, diabetes mellitus, gout, hypertension, bilateral knee replacement with left knee pain and swelling. We initially suspected gout and treated him with prednisolone, but it did not relieve him. Joint aspiration revealed high WBC, predominantly neutrophils, and polymerase chain reaction (PCR)-identified Streptococcus lutetiensis. The patient underwent knee incision, drainage, poly exchange, and wound vacuum-assisted closure (VAC) placement. Sensitivity testing led us to treat him with ceftriaxone. Echocardiography revealed no endocarditis. A colonoscopy revealed multiple non-bleeding polyps and adenomas. After discharge, our patient completed six weeks of ceftriaxone via a peripherally inserted central catheter (PICC) line. At follow-up, our patient reported no complaints of fever and knee swelling. Competing Interests: Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Shanti et al.) |
| Databáze: | MEDLINE |
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