Acute Septic Arthritis due to <i>Streptococcus sanguis</i>

Abstract

Objective: To present a case of acute septic arthritis due to Streptococcussanguis, a member of the viridans group streptococci. Clinical Presentation and Intervention: A 73-year-old woman presented with fever and increasing swelling and pain of the right knee several weeks after she had been treated for severe periodontal disease. Arthrocentesis yielded purulent synovial fluid. S. sanguis was isolated in synovial fluid cultures, and the patient was treated with intravenous cefotaxime for 3 weeks and repeated aspiration of the knee joint with gradual resolution of fever, joint swelling and effusion. Conclusion: Although S. sanguis is believed to be a rare cause of septic arthritis in native joints, it should be considered in the differential diagnosis of this disorder, especially in patients with recent treatment of severe dental caries and periodontal disease.

Systemic endotoxin levels in chronic indolent periodontal infections

“…This process is enhanced in cases where the gingival tissue is more fragile as a result of inflammation and is exacerbated in periodontitis as a result of breaks in the integrity of the gingival epithelial barrier (42). The results of this translocation have been described in detail and may cause subacute bacterial endocarditis, primarily resulting from oral streptococcal species (25,43,44), and infection foci in various tissues including liver, brain and joints (45–50) from oral bacteria. More recent studies have suggested that the chronic local infection in periodontitis provides a chronic microbial challenge to the systemic circulation that can enable oral bacteria to colonize vascular tissues (51), placental/amniotic tissues and the fetus (52), and alter pancreatic functions (30).…”

A Case of Septic Arthritis of Shoulder Joint Due to Streptococcus anginosus Following Dental Treatment

“…Diş çürükleri ve enfektif endokarditin başlıca etkenlerinden olmalarına karşılık septik artrit etyolojisinde nadiren yer almaktadırlar (1) . Kapsamlı yorum ve derlemelerde etkenler arasında sayılmamakla birlikte diz, çene, sternoklavikular, sakroiliak eklemlerin tutulduğu olgular bildirilmektedir (6,8,14,19) .…”

“…Papaioannides ve ark. (14) ve Patrick ve ark. (15) invazif bir diş tedavisini takiben üçüncü ve dördüncü haftalarda gelişen Streptococcus sanguinis'e bağlı iki diz eklem artriti bildirmişler ve yakın zamanda diş tedavisi sonrası gelişen septik artritlerde oral streptokokların da ön planda düşünülmesi gerektiğini vurgulamışlardır.…”

Rare Occurrence of Prosthetic Knee Septic Arthritis Due to Streptococcus viridans in the Background of a Dental Procedure

“…Although the rate of prosthetic joint infection (PJI) is low after total knee arthroplasty (TKA), with a reported rate of 0.3% - 1.7%, the number of patients with PJI is increasing due to the increase in TKA surgeries [1-3]. In adults, Staphylococcus aureus is the most common bacterial source of PJI, found in almost 40% - 60% of cases, followed by beta-hemolytic streptococci and Enterococci [4-5]. Viridans streptococci are rarely associated with PJI [4].…”

“…In adults, Staphylococcus aureus is the most common bacterial source of PJI, found in almost 40% - 60% of cases, followed by beta-hemolytic streptococci and Enterococci [4-5]. Viridans streptococci are rarely associated with PJI [4]. We discuss an unusual case of PJI due to the viridans group.…”