Post Arthrotomy Prevotella bivia Septic Arthritis and Secondary Osteomyelitis
| Autor: | Samer Salih, Azhar Farooqui, Abdelmageed Kambal |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
infectious disease medicine.medical_treatment ved/biology.organism_classification_rank.species lcsh:QR1-502 Pharmaceutical Science Lung abscess Prevotella bivia lcsh:Microbiology Osteomyelitis septic arthritis infectious disease Prevotella arthrotomy Health Care Sciences and Services Pelvic inflammatory disease medicine Prevotella Pharmacology (medical) Sağlık Bilimleri ve Hizmetleri septic arthritis Arthrotomy biology ved/biology business.industry Osteomyelitis Pleural empyema arthrotomy osteomyelitis medicine.disease biology.organism_classification Surgery Complementary and alternative medicine prevotella Septic arthritis business |
| Zdroj: | Journal of Microbiology and Infectious Diseases, Vol 09, Iss 02, Pp 100-103 (2019) Volume: 09, Issue: 02 100-103 Journal of Microbiology and Infectious Diseases |
| ISSN: | 2146-3158 2146-9369 |
| DOI: | 10.5799/jmid.574634 |
| Popis: | Prevotella is a common gram-negative anaerobic rod that is frequently associated with female genitourinary tract infections, pelvic inflammatory disease, aspiration pneumonia, lung abscess and pleural empyema. Osteomyelitis in association with septic arthritis is rare with only a handful of cases reported worldwide. In this case study, we report a patient who presented with a clinical picture of septic arthritis complicated by the presence of a sinus tract at the site of a previous arthroscopic surgery. Initial sinus pus cultures demonstrated Streptococcus agalactiae , which were confirmed with intra-operative joint fluid cultures. After a brief period of clinical improvement following arthrotomy, a sudden clinical deterioration prompted re-cultures demonstrating heavy growth of Provetella bivia . Repeat MRI demonstrated new signs of osseous involvement. The patient was managed with a redo arthrotomy, extensive debridement of osteomyelitic tissue, washout and an extended antibiotic therapy regimen. This association is first of its kind in Saudi Arabia. J Microbiol Infect Dis 2019; 9(2):100-103. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|