A 10 Year clinical, laboratory and arthroscopic data analysis of bacterial septic arthritis of adult native knee: A hospital-based study

Madi, Sandesh; Natarajan, Srikant; Murali, Sujayendra; Pandey, Vivek; Acharya, Kiran

doi:10.1016/j.jajs.2020.10.003

Cited by 1 publication

(1 citation statement)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, Klebsiella and Streptococcus species can exist for up to several weeks on inanimate objects, including soil and clothing [ 37 , 38 ]. The introduction of these pathogens via laceration is supported by several clinical studies of patients with KO or GBS bacteremia [ 13 – 15 , 21 , 23 , 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Diffuse-Type Tenosynovial Giant Cell Tumor of the Knee with Concurrent Polymicrobial Infection (Klebsiella oxytoca and Group B Streptococcus)

Marshall

Skedros

Campana

et al. 2021

Case Reports in Infectious Diseases

View full text Add to dashboard Cite

Tenosynovial giant cell tumors (TGCT) are a rare class of benign proliferative tumors that are classified according to their presentation: localized-type (L-TGCT) or diffuse-type (D-TGCT). TGCT is synonymous with pigmented villonodular synovitis (PVNS). We describe the unique case of a 56-year-old obese male with type 2 diabetes who had polymicrobial septic arthritis of his left knee joint with concurrent D-TGCT in the same knee. While on a vacation, he noticed spontaneous left knee pain and swelling with an acute onset of fever. He was diagnosed with septic arthritis that was attributed to hematogenous spread from a leg laceration. The septic arthritis was treated with arthroscopic lavage and debridement, including simultaneous excision of the D-TGCT lesions, followed by intravenous ceftriaxone. Cultures of the synovial tissue that were obtained during arthroscopy grew Klebsiella oxytoca and beta-hemolytic (group B) Streptococcus agalactiae. We were not able to find another reported case of any joint with (1) a polymicrobial bacterial infection that included Klebsiella oxytoca and (2) concurrent bacterial septic arthritis and TGCT.

show abstract