Escherichia coli – Marauding masquerading microbe

Abstract

Asymptomatic involvement of joints can occur in polyarticular septic arthritis and should be considered in all cases of monoarticular septic arthritis (MASA). We believe that clinical suspicion is the key to early and comprehensive diagnosis of polyarticular septic arthritis particularly when presenting in an atypical fashion with an atypical pathogen. Strong consideration should be given to performing nuclear imaging in cases of monoarticular septic arthritis where polyarticular involvement cannot be definitively ruled out.

Escherichia coli mono articular septic arthritis of shoulder joint in an elderly female

“…E. coli septic arthritis has been rarely reported but is the most isolated gram-negative pathogen from septic joint aspirates. 3 Host factors predisposing to septic arthritis include comorbidities like malignancy, diabetes, cirrhosis, renal uremic syndromes and intravenous drug abusers. 4 Clinical spectrum of the disease can be fever with chills, joint pains while moving the joint both actively and passively.…”

Swellings of the sternoclavicular joint: review of traumatic and non-traumatic pathologies

“… 74 , 79 Other common organisms include pseudomonas, Brucella and E.coli. 74 , 80 Patients with risk factors such as intravenous drug abuse historically were infected with Pseudomonas aeruginosa, 81 but occurrence of this is now decreasing. 74 Neisseria gonorrhoeae and Candida albicans might be responsible in HIV-positive patients.…”