Actinomyces meyeri Popliteal Cyst Infection and Review of the Literature

Autor: Bharath Raj Palraj, Ala S. Dababneh
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Case Reports in Infectious Diseases, Vol 2017 (2017)
Druh dokumentu: article
ISSN: 2090-6625
2090-6633
DOI: 10.1155/2017/9704790
Popis: A 66-year-old, Caucasian male presented with pain and swelling involving the left knee of one-week duration. Arthrocentesis was negative for evidence of septic arthritis. Magnetic resonance imaging (MRI) study of the left knee showed degenerative arthritis, partial tear of medial meniscus, and a complex fluid collection along the posteromedial aspect of the left knee suggestive of popliteal cyst. He underwent arthroscopy with partial medial meniscectomy. Intraoperative joint fluid was noted to be cloudy but cultures were negative. Arthroscopic procedure provided him with temporary relief but the pain and swelling in the posterior aspect of the left knee recurred in 6 weeks. Repeat MRI showed complex fluid collection in the posterolateral aspect of left knee. Ultrasound guided aspiration of the fluid collection revealed purulent material and cultures grew Actinomyces meyeri. He was treated with 6 weeks of intravenous penicillin regimen followed by 18 months of oral penicillin.
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