Septic Oligoarthritis Caused by <i>Klebsiella pneumoniae</i> and <i>Acinetobacter baumannii</i>

Marchi, Mauricio Felippi de Sá; Gomes, Rafael Senff

doi:10.3899/jrheum.130117

Cited by 2 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

Septic arthritis in immunocompetent and immunosuppressed hosts

Wang

Tambyah

2015

Best Practice & Research Clinical Rheumatology

View full text Add to dashboard Cite

Section: Microbiologymentioning

confidence: 99%

Septic arthritis in immunocompetent and immunosuppressed hosts

Wang

Tambyah

2015

Best Practice & Research Clinical Rheumatology

View full text Add to dashboard Cite

Case report: Acinetobacter baumannii septic arthritis in an immunocompetent infant

Liao

Xiao²,

Feng³

et al. 2023

Front. Med.

View full text Add to dashboard Cite

Acinetobacter baumannii is a gram-negative coccobacilli, mainly causing nosocomial infections with poor prognosis, especially in patients with prolonged hospitalization or antibiotics administration. A. baumannii pneumonia is the most common clinical form and usually occurs in critically ill patients in the intensive care unit. However, septic arthritis caused by A. baumannii is rarely reported. In this report, we describe a case of A. baumannii septic arthritis combined with incomplete Kawasaki disease in an infant. The child's chief complaint was a 2-week intermittent fever with poor response to antibiotics. Initial physical examination revealed swollen lymph nodes in the neck, pharynx congestion, and the appearance of rashes. Combined with laboratory tests, the diagnosis of incomplete Kawasaki disease was considered. After administration of high-dose intravenous immunoglobulin and corticosteroids, the child's fever improved and periungual desquamation appeared simultaneously. Swelling of the right knee occurred 5 days after the fever improved and imaging tests of MRI and ultrasound suggested the existence of infection. A diagnosis of septic arthritis was established subsequently, and arthroscopy was carried out. A. baumannii was finally identified by metagenomics next-generation sequencing of joint draining fluid for pathogenic microorganisms. Treatment with meropenem was then started. The patient eventually recovered and was discharged from the hospital after 23 days of treatment with meropenem. Although A. baumannii is not a common bacterium of septic arthritis, this rare infection can still occur in infants. Early diagnosis, pathogenic identification, and target antibiotic treatment are important to reduce the occurrence of joint sequelae.

show abstract

Septic Oligoarthritis Caused by Klebsiella pneumoniae and Acinetobacter baumannii

Cited by 2 publications

References 10 publications

Septic arthritis in immunocompetent and immunosuppressed hosts

Septic arthritis in immunocompetent and immunosuppressed hosts

Case report: Acinetobacter baumannii septic arthritis in an immunocompetent infant

Contact Info

Product

Resources

About