Septic Arthritis Due to Fusobacterium nucleatum in an Immunocompetent Patient

Cubero, Carmen Carrasco; Red, Priscila Zamora; Maestrojuan, José Javier Salaberri; Prieto, María Dolores López

doi:10.1016/j.reumae.2011.05.010

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Bacterial pathogens are commonly associated with invasion of joints; however, viral, fungal, and mycobacterial agents are also linked with septic arthritis [3]. Among the bacterial agents, aerobes are considered to be frequent isolates because of their rapid destructive nature while, the frequency of anaerobic bacteria causing septic arthritis is very low with an estimated rate of <1% [1,4]. Among the aerobic bacteria, Staphylococcus aureus and Streptococcus spp.…”

Section: Introductionmentioning

confidence: 99%

Parvimonas Micra and Fusobacterium Nucleatum Septic Arthritis: A Rare Anaerobic Double Trouble

Shenoy

Gupta

Vishwanath

et al. 2018

Asian J Pharm Clin Res

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Septic arthritis is a condition initiated by pathogenic inoculation of joints either by direct or hematogenous route, necessitating immediate medical attention. Among aerobic bacteria, Staphylococcus aureus and Streptococcus spp. are commonly found in association with septic joints. Anaerobes are very rarely involved in the causation of septic arthritis with an estimated rate of <1%. We are presenting a case of septic arthritis of knee joint by Parvimonas micra and Fusobacterium nucleatum, both being constituents of microbial flora in the oral cavity and gastrointestinal tract. Gram stain and anaerobic culture incorporated along with the aerobic culture of synovial fluid have played an important role in the preliminary diagnosis of anaerobic septic arthritis in this case.

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Section: Introductionmentioning

confidence: 99%

Parvimonas Micra and Fusobacterium Nucleatum Septic Arthritis: A Rare Anaerobic Double Trouble

Shenoy

Gupta

Vishwanath

et al. 2018

Asian J Pharm Clin Res

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Isolated Septic Arthritis of the Hip Due to Fusobacterium nucleatum in An Immunocompetent Adult: A Case Report and Review of the Literature

Nishi¹,

Yoshikawa²,

Kaji³

et al. 2021

JOCR

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Introduction: Hip septic arthritis is more common in children than in adults. Staphylococcus aureus and Streptococcus spp. are commonly found in association with septic joints. In contrast, Fusobacterium nucleatum septic arthritis in adults is extremely rare. To the best of our knowledge, only five cases have been reported in the literature in English, and three of them were cases of periprosthetic joint infection. We report a rare case of hip septic arthritis due to F. nucleatum in an immunocompetent adult. Case Presentation: A 56-year-old Asian man with a history of bilateral Perthes’ disease and mild alcoholic liver disease presented to our hospital complaining of worsening right hip pain and difficulty in walking for the previous 3 weeks. On presentation, his temperature was 38.7°C, and laboratory results showed a white blood cell count of 19 200 cells/µL and a C-reactive protein level of 43.56 mg/dL. Hip movements were limited due to pain. Contrast-enhanced computed tomography and magnetic resonance imaging showed fluid retention, suggesting infection. F. nucleatum was detected in the culture test from joint aspirate. Surgical drainage was performed 3 times in combination with antibiotherapy. Finally, we performed two-stage total hip arthroplasty, and the post-operative course was uneventful without implant loosening or infection relapse. Conclusion: The patient had a history of Perthes’ disease and had hip osteoarthritis, which may have contributed to the development of hip septic arthritis. We treated this rare case of hip septic arthritis due to F. nucleatum with two-stage revision surgery and antibiotherapy. Clinicians should be aware that F. nucleatum could be the etiologic agent of hip septic arthritis in an immunocompetent patient. Keywords: Septic Arthritis, Hip joint, Fusobacterium nucleatum, Adult

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Septic Arthritis Due to Fusobacterium nucleatum in an Immunocompetent Patient

Cited by 2 publications

References 6 publications

Parvimonas Micra and Fusobacterium Nucleatum Septic Arthritis: A Rare Anaerobic Double Trouble

Parvimonas Micra and Fusobacterium Nucleatum Septic Arthritis: A Rare Anaerobic Double Trouble

Isolated Septic Arthritis of the Hip Due to Fusobacterium nucleatum in An Immunocompetent Adult: A Case Report and Review of the Literature

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