Tuberculose de l’épaule masquée par une infection concomitante à enterobacter cloacae: à propos d’un cas

Abstract

La tuberculose de l’épaule est une localisation rare de même que l'arthrite septique à Enterobacter cloacae, les auteurs rapportent un cas d'ostéoarthrite de l’épaule à Bacille de Koch et à E. Cloacae chez une patiente de 36 ans avec un terrain particulier (drépanocytose SC et infection à VIH). Le diagnostic a été possible grâce aux prélèvements chirurgicaux effectués lors de l'arthrotomie

Enterobacter cloacae infection of the shoulder in a 52-year-old woman without apparent predisposing risk factor: a case report and literature review

“…Fever, sore throat. Burning sensation, swelling and redness around the right shoulder Joint aspiration E. Cloacae Levofloxacin (300 mg, IV, q12h, 5 days) → 0.5 g, po, qd, 11 days → 300 mg, IV, q12h, 9 days → 0.5 g, po, qd, 17 days WBC:12.7 × 10 9 /L, CRP:41.2 mg/dL, ESR:65 mm/h Details in Table 1 Recovery 2 [ 12 ] M 2 Left knee Osteoarticular infection at the same site 2 years earlier (no organism was identified), and he was born via forcep delivery Limp and left knee pain and swelling for 2 weeks Joint aspiration and synovial tissue E. Cloacae Meropenem(20 mg/kg, IV, q8h, 3 weeks) → Sulfamethoxazole–Rimethoprim (4 mg/kg, q12h, po, 6 months) NA Meropenem, cefepime, ciprofloxacin and trimethoprim-sulphamethoxazole Recovery 3 [ 13 ] F 36 Right shoulder HIV-positive, sickle cell anemia, latent tuberculosis infection Fever, weight loss, fatigue, 4-months history of right shoulder pain Joint aspiration and surgical specimens E. Cloacae and Mycobacterium tuberculosis Imipenem and Amikacin for 2 weeks, IV CRP:0 Imipenema, latomoxef, amikacin, pefloxacin and ciprofloxacin Recovery 4 [ 14 ] M 14 Left sacroiliac joint Sepsis 1-day history of fever and hip pain aggravated by walking, ARDS happened on the third hospital day Blood E. Cloacae Vancomycin(4 g/day) and Ceftriaxone (4 g/day) → Ceftriaxone (4 g/day) and Amikacin (1.5 g/day) for 6 weeks WBC: 6.4 × 10 9 /L, ESR:12 mm/h, CRP:3.1 mg/dL Amikacin, aztreonam, ceftriaxone, ceftazidime, cefotaxime, ciprofloxacin, gentamicin, imipenem, piperacillin/tazobactam; Recovery 5 [ 15 ] M 88 T10/T11 Long-term urinary catheter, malignancy Back pain, fever, rigors, weight loss Blood E. Cloacae Meropenum (IV, 3 weeks) and Ciprofloxacin (Long time) WBC: 10.06 × 10 9 /L, CRP: 227 mg/dL NA Failed to therapy 6 [ …”