Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of Literature
Septic arthritis is a medical emergency that requires prompt diagnosis to prevent long-term intra-articular complications. Prevotella bivia is an anaerobic gram-negative rod which has been infrequently reported to cause septic arthritis. We present a 49-year-old female that presented with spontaneou...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-08-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/23247096231194842 |
| _version_ | 1797743425951367168 |
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| author | Rakan E. Dodin MD Hallie Thompson MD Michael H. Storandt MD Leonid Vilenski MD Dubert M. Guerrero MD |
| author_facet | Rakan E. Dodin MD Hallie Thompson MD Michael H. Storandt MD Leonid Vilenski MD Dubert M. Guerrero MD |
| author_sort | Rakan E. Dodin MD |
| collection | DOAJ |
| description | Septic arthritis is a medical emergency that requires prompt diagnosis to prevent long-term intra-articular complications. Prevotella bivia is an anaerobic gram-negative rod which has been infrequently reported to cause septic arthritis. We present a 49-year-old female that presented with spontaneous left knee pain and swelling without history of insult to the knee. She was initially misdiagnosed with patellar tendinitis and gout but later underwent joint aspiration due to worsening symptoms, which demonstrated 60 800/µL nucleated cells with a polymorphonuclear burden consistent with septic arthritis. Arthroscopy with irrigation and drainage was subsequently performed, and the patient was started on empiric antibiotics while awaiting cultures. Cultures grew Prevotella bivia , and antibiotics were deescalated to ertapenem alone followed by oral metronidazole. Prevotella species as a source of septic arthritis is rare, and its occurrence in a patient without known insult to the knee is even more uncommon. It is essential that it is recognized to treat appropriately and prevent long-term loss of function in the joint. |
| first_indexed | 2024-03-12T14:55:18Z |
| format | Article |
| id | doaj.art-17a5480c2fca4178855a75c5ab8c445d |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-03-12T14:55:18Z |
| publishDate | 2023-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-17a5480c2fca4178855a75c5ab8c445d2023-08-14T21:33:25ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962023-08-011110.1177/23247096231194842 Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of LiteratureRakan E. Dodin MD0Hallie Thompson MD1Michael H. Storandt MD2Leonid Vilenski MD3Dubert M. Guerrero MD4School of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND, USASchool of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND, USASchool of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND, USASanford Health, Fargo, ND, USASanford Health, Fargo, ND, USASeptic arthritis is a medical emergency that requires prompt diagnosis to prevent long-term intra-articular complications. Prevotella bivia is an anaerobic gram-negative rod which has been infrequently reported to cause septic arthritis. We present a 49-year-old female that presented with spontaneous left knee pain and swelling without history of insult to the knee. She was initially misdiagnosed with patellar tendinitis and gout but later underwent joint aspiration due to worsening symptoms, which demonstrated 60 800/µL nucleated cells with a polymorphonuclear burden consistent with septic arthritis. Arthroscopy with irrigation and drainage was subsequently performed, and the patient was started on empiric antibiotics while awaiting cultures. Cultures grew Prevotella bivia , and antibiotics were deescalated to ertapenem alone followed by oral metronidazole. Prevotella species as a source of septic arthritis is rare, and its occurrence in a patient without known insult to the knee is even more uncommon. It is essential that it is recognized to treat appropriately and prevent long-term loss of function in the joint.https://doi.org/10.1177/23247096231194842 |
| spellingShingle | Rakan E. Dodin MD Hallie Thompson MD Michael H. Storandt MD Leonid Vilenski MD Dubert M. Guerrero MD Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of Literature Journal of Investigative Medicine High Impact Case Reports |
| title | Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of Literature |
| title_full | Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of Literature |
| title_fullStr | Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of Literature |
| title_full_unstemmed | Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of Literature |
| title_short | Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of Literature |
| title_sort | septic arthritis in an immunocompetent adult a case report and review of literature |
| url | https://doi.org/10.1177/23247096231194842 |
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