Klebsiella pneumoniae sacroiliac septic arthritis: First case report

Chee, Yong Chuan; Lim, Chong Hong

doi:10.1016/j.idcr.2018.e00459

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…History and physical examination, laboratory tests, radiographs, ultrasound, and arthrocentesis can be helpful in the diagnosis of SA 5) . Nevertheless, diagnosis of SA remains challenging 7) . Treatments for SA include surgical drainage, intravenous antibiotics, and continuing with oral antibiotics 13) .…”

Section: Discussionmentioning

confidence: 99%

“…Klebsiella pneumoniae and Enterobacter cloacae , two gram-negative bacteria, are members of the Enterobacteriaceae family. SA caused by K. pneumoniae is an infrequent condition 6) and has only been reported in certain conditions such as trauma, neonates, elderly, intravenous drug abuser, and immunocompromised patients 7) . E. cloacae -associated SA is rare and usually occurred after invasive surgical procedures and traumatic patients 8) .…”

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confidence: 99%

“…SA of the hip joint usually mimics other musculoskeletal diseases such as osteoarthritis exacerbation, psoas tendinopathy, piriformis syndrome, etc. 6 , 7) or tumors like fibrous dysplasia, solitary bone cyst, osteoid osteoma, chondroblastoma, giant cell tumor, osteochondroma, aneurysmal bone cyst, and Langerhans cell histiocytosis 15) ; therefore, diagnosis is a challenge for general orthopedic surgeons or even hip surgeons.…”

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confidence: 99%

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Klebsiella pneumoniae and Enterobacter cloacae Induced Septic Arthritis in a Healthy Adolescent: A Rare Case Report

et al. 2022

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Septic arthritis (SA) is a joint inflammation that develops secondary to infectious causes. SA in children is associated with a high rate of morbidity and mortality; therefore, it is regarded as an orthopedic emergency. Because SA of the hip joint usually mimics other musculoskeletal diseases, diagnosis remains challenging. Although this lesion usually shows a good outcome, treatment at an inappropriate time, neglect, or inadequate treatment could lead to poor outcomes. We report on the case of a healthy adolescent who complained of episodes of fever and chills, weight loss, pain in his left hip, and limping. After performing necessary workups, two differential diagnoses of tumor and SA were made. The results of Gram stain and culture of the synovial fluid after surgical excision showed Klebsiella pneumoniae and Enterobacter cloacae complex. To the best of our knowledge, this is the first report of SA due to co-infection with K. pneumoniae and E. cloacae in a healthy patient.

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Klebsiella pneumoniae and Enterobacter cloacae Induced Septic Arthritis in a Healthy Adolescent: A Rare Case Report

et al. 2022

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“…However, cases of septic arthritis of the hip joint (SAHJ) are rarely reported, and all previous reports involved immunocompromised patients [ 2 , 3 ]. SAHJ presents a diagnostic challenge because it mimics other musculoskeletal conditions, such as degenerative hip joint disease or tendonitis ( Table 1 ) [ 4 ]. Septic arthritis is most commonly caused by gram-positive bacteria, including Staphylococcus aureus , Staphylococcus epidermidis , and streptococci [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report

Moon

Lee

Ryu

2023

JYMS

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Klebsiella pneumoniae is an uncommon cause of septic arthritis in adults. However, late detection can cause serious complications, including joint destruction and immobility. The purpose of this study was to report a case of successfully treated septic arthritis of the hip joint (SAHJ) caused by K. pneumoniae. A 49-year-old female patient presented to our hospital with fever and progressive severe pain in the right hip area. Although there was no abnormality on plain radiographs, ultrasonography revealed diffuse swelling of the right hip joint. Under ultrasonography guidance, the hip joint fluid was aspirated, and Gram staining and culturing were performed. The patient's pain was significantly reduced after the joint aspiration. The Gram staining and culturing revealed gram-negative bacilli, which were subsequently identified as K. pneumoniae. According to the results, systemic intravenous antibiotic (ceftriaxone) was administered without complications, and the patient was discharged on oral antibiotic (ciprofloxacin). Clinical cases of septic arthritis of the knee or sacroiliac joint have been occasionally reported in adults, but cases of SAHJ are rare. Moreover, K. pneumonia-induced SAHJ has not been reported to date. Therefore, we report this very rare case and its successful treatment.

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Klebsiella pneumoniae sacroiliac septic arthritis: First case report

Cited by 2 publications

References 12 publications

Klebsiella pneumoniae and Enterobacter cloacae Induced Septic Arthritis in a Healthy Adolescent: A Rare Case Report

Klebsiella pneumoniae and Enterobacter cloacae Induced Septic Arthritis in a Healthy Adolescent: A Rare Case Report

Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report

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