Pseudomonas aeruginosa septic trapezo-metacarpal arthritis after prostate laser vaporization

Lepetit, C; Gal, S. Le; Michon, Jacques; Collon, Sylvie; Tillou, X.

doi:10.1007/s15010-015-0729-2

Cited by 7 publications

(8 citation statements)

References 8 publications

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“…Septic arthritis of the hip joint does not necessarily present with an alarming clinical picture; in many cases the only complaint is pain and restriction of movement. Similarly, prostatic infections which are frequent in elderly susceptible groups also have variable presentation [1][2][3][4][5][6][7][8] . Therefore, diagnosis can be delayed allowing for the haematogenous spreading of the infection, the development of septic arthritis and the subsequent destruction of the affected joint [2][3][4][5][6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, prostatic infections which are frequent in elderly susceptible groups also have variable presentation [1][2][3][4][5][6][7][8] . Therefore, diagnosis can be delayed allowing for the haematogenous spreading of the infection, the development of septic arthritis and the subsequent destruction of the affected joint [2][3][4][5][6][7][8] . Reported in literature are among others, cases of septic arthritis of the hip, the knee, the trapezio-metacarpal and sternoclavicular joints, as well as the joints in the spine 1,4,[6][7][8]10 .…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, diagnosis can be delayed allowing for the haematogenous spreading of the infection, the development of septic arthritis and the subsequent destruction of the affected joint [2][3][4][5][6][7][8] . Reported in literature are among others, cases of septic arthritis of the hip, the knee, the trapezio-metacarpal and sternoclavicular joints, as well as the joints in the spine 1,4,[6][7][8]10 . This report identifies a clinically silent prostatic abscess as the cause of the infection and the complete destruction of the hip joint.…”

Section: Discussionmentioning

confidence: 99%

“…Although rare, prostatic abscesses can be seen after the age of 60, more often in patients at increased risk. This includes diabetics, immunocompromised, patients on haemodialysis and patients undergoing frequent urinary procedures such as urethral instrumentation or bladder catheterization [1][2][3][4][5][6][7][8] . The commonest identified pathogen is Staphylococcus aureus, while a haematogenous spreading of the infection can result in complications such as sepsis, septic arthritis and osteonecrosis of involved joints [1][2][3][5][6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

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A case of hip joint septic arthritis as a complication of a prostate abscess

Vampertzis¹,

Iosifidou²,

Barmpagianni³

et al. 2020

JRPMS

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A 63 year old male patient presented in the outpatient department of our hospital in December of 2017 due to pain on the right hip. His symptoms had started abruptly 2 months ago with pain initially centred on the right gluteus. This was gradually increasing in intensity and started to radiate to the right hip, until it was finally settled there causing significant restriction of movement. The patient reported no trauma or operations in the affected area and Abstract Septic arthritis due to an infection elsewhere in the body is a dangerous disease manifestation. The elderly and particularly those with comorbidities such as diabetes mellitus, arterial hypertension; haemodialysed and the immunocompromised are more susceptible. Infections of the prostate can spread via the blood to cause sepsis and/ or affect joints. Although prostatitis can be diagnosed based on common symptoms and tests, chronic infections and abscesses can be silent and asymptomatic, which allows them to spread. We present a case of a silent prostatic abscess which spread to the hip joint causing septic arthritis and joint destruction. This was further complicated by patient incompliance and refusal for an early surgical debridement. As a result, the condition was aggravated and the joint was lost. The important point made is that clinical presentation of septic arthritis is not always alarming. Moreover, care should be taken to recognise the origin of infection, as it can also be occult. Prompt diagnosis and early treatment are vital, as joint destruction is rapid. Additionally, treatment is complex, dangerous and expensive, with high doses of strong antibiotics, surgeries and variable results. Relapses are common in advanced cases and the hazard for progression to sepsis cannot be neglected.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A case of hip joint septic arthritis as a complication of a prostate abscess

Vampertzis¹,

Iosifidou²,

Barmpagianni³

et al. 2020

JRPMS

View full text Add to dashboard Cite

show abstract

“…Among the non-fermenting gram-negative bacilli, Pseudomonas aeruginosa has been implicated as a cause of septic arthritis after invasive procedures, for example, after prostate resection [38], and urologic surgery [39], and as a cause of septic arthritis of the knee after anterior cruciate ligament surgery [40] and intra-articular injection of the knee [41]. Burkholderia cepacia [42] and Acinetobacter baumannii [43] have also been implicated as causative pathogens, especially following procedures.…”

Section: Microbiologymentioning

confidence: 99%