Pseudomonas arthropathy in an older patient

Abstract

Background: septic arthritis caused by Pseudomonas aeruginosa is uncommon in the immunocompetent older population, despite its occurrence in younger patients with open injuries and in intravenous drug abusers. Case Report: here we report a case of septic arthritis caused by P. aeruginosa complicated by death in an older patient with recently treated Pseudomonas urinary tract infection. Discussion: the diagnosis of Pseudomonas septic arthritis is made on culturing the organism from synovial fluid aspirate. Concurrent septic arthritis and crystal arthropathy is associated with a high mortality.

Septic arthritis of the pubic symphysis fromPseudomonas aeruginosa: reconsidering traditional risk factors and symptoms in the elderly patient

“…Although septic arthritis caused by P aeruginosa is uncommon,1–3 there are documented cases in specific joints 1 4–6. The site most frequently affected by far is the knee 1 5.…”

Visual impairment following stroke: do stroke patients require vision assessment?

“…Pseudomonas arthropathy in an older patient SIR-The case report by Keynes et al [1] published in Age and Ageing suggested that only one case of pseudomonas aeruginosa septic arthritis affecting elderly people is currently in existence in the literature. May I point out that, in addition to the one case mentioned by the author [2], there are several such cases in the literature as highlighted below.…”

“…SIR-We have read with interest the article by Rowe et al [1] published in Age and Ageing and will like to make the following comments. There are people who do not get referred or assessed by orthoptist for various reasons.…”

“…All patients with any suspected visual difficulty should be referred to Orthoptists who can assess the visual status of the patient and make onward appropriate referrals within ophthalmology as required [1]. Often patients referred direct to ophthalmology are not seen by a neuro-ophthalmologist and thus may not access the full range of advice and/or management that would be provided from a specialist service.…”

Remission after treatment of osteoarticular infections due to Pseudomonas aeruginosa versus Staphylococcus aureus: a case-controlled study

“…P. aeruginosa accounts for an absolute minority of all osteoarticular pathogens [1], and most reports are either case series involving around 20-30 cases [9][10][11][12][13] or even less [14][15][16][17][18][19][20][21][22][23][24][25][26][27]. Moreover, these reports subsume P. aeruginosa under other Gram-negative pathogens [9,12,13,19], including anaerobes [10,28], and lack adjustment for case mix [9,10,19,21].…”