JORR
Journal of Orthopedics Research and Rehabilitation

The Journal of Orthopedics Research and Rehabilitation welcomes scholarly papers inorthopaedic surgery, physical therapy and rehabilitation, neurosurgery, neurology and clinic anesthesiology and reanimation.

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Case Report
A rare case of bilateral septic arthritis: a case report
Abstract
Acute septic arthritis is an orthopedic emergency that requires rapid diagnosis and treatment to prevent serious complications, morbidity, and mortality. Delayed or inadequate treatment can lead to irreversible joint damage. Risk factors for septic arthritis include previous joint pathologies like rheumatoid arthritis and crystal arthropathy, joint prostheses, low socioeconomic status, and diabetes. Given the increasing frequency of cases of septic arthritis infected with resistant and rare microorganisms, knowing regional epidemiological data is important and necessary for planning treatment approaches. The aim of this article is to present a case of bilateral knee septic arthritis caused by Bacillus spp. as a pathogen. The blood parameters and joint fluid culture of the patient led to the diagnosis of bilateral septic arthritis. In the differential diagnosis of a hot and swollen joint, especially in the presence of risk factors, septic arthritis should be considered until ruled out. It should not be forgotten that opportunistic pathogens can also cause septic arthritis.

Keywords : Septic arthritis, opportunistic pathogen, debridment

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1. Earwood JS, Walker TR, Sue GJC. Septic Arthritis: Diagnosis andTreatment. Am Fam Physician. 2021;104(6):589-597.
2. Mistry RM, Lennon D, Boyle MJ, et al. Septic arthritis and acute rheumaticfever in children: the diagnostic value of serological inflammatory markers.J Pediatr Orthop. 2015;35(3):318-322. doi:10.1097/BPO.0000000000000261
3. Minatogawa A, Ohara J, Horinishi Y, Sano C, Ohta R. Meningitiswith staphylococcus aureus bacteremia in an older patient withnonspecific symptoms: a case report. Cureus. 2023;15(1):e34153.doi:10.7759/cureus.34153
4. Dryden MS, Kramer JM. Toxigenic Bacillus cereus as a causeof wound infections in the tropics. J Infect. 1987;15(3):207-212.doi:10.1016/S0163-4453(87)92553-9
5. Tusgul S, Prod’hom G, Senn L, Meuli R, Bochud PY, Giulieri SG.Bacillus cereus bacteraemia: comparison between haematologic andnonhaematologic patients. New Microbes New Infect. 2017;15:65-71.doi:10.1016/j.nmni.2016.11.011
6. Cohen E, Katz T, Rahamim E, et al. Septic arthritis in children: updatedepidemiologic, microbiologic, clinical and therapeutic correlations.Pediatr Neonatol. 2020;61(3):325-330. doi:10.1016/j.pedneo.2020.02.006
7. Pääkkönen M. Septic arthritis in children: diagnosis and treatment.Pediat Health Med Therapeut. 2017:65-68. doi:10.2147/PHMT.S115429
8. Holzmeister A, Frazzetta J, Yuan FFN, et al. Evaluation for septicarthritis of the native adult knee is aided by multivariable assessment.Am J Emerg Med. 2021;46:614-618. doi:10.1016/j.ajem.2020.11.048
9. McGillicuddy DC, Shah KH, Friedberg RP, Nathanson LA, EdlowJA. How sensitive is the synovial fluid white blood cell count indiagnosing septic arthritis? Am J Emerg Med. 2007;25(7):749-752.doi:10.1016/j.ajem.2006.12.001
10. Wang DA, Tambyah PA. Septic arthritis in immunocompetentand immunosuppressed hosts. Best Pract Res Clin Rheumatol.2015;29(2):275-289. doi:10.1016/j.berh.2015.05.008
11. Glassman I, Nguyen KH, Booth M, Minasyan M, Cappadona A,Venketaraman V. Atypical staphylococcal septic arthritis in a nativehip: a case report and review. Pathog Basel Switz. 2023;12(3):408.doi:10.3390/pathogens12030408
12. Roy M, Roy AK, Ahmad S. Septic arthritis of knee joint due to parvimonasmicra. BMJ Case Rep. 2017;2017:bcr-2017 doi:10.1136/bcr-2017-221926
13. Elsissy JG, Liu JN, Wilton PJ, Nwachuku I, Gowd AK, Amin NH.Bacterial septic arthritis of the adult native knee joint: a review. JBJSRev. 2020;8(1):e0059. doi:10.2106/JBJS.RVW.19.00059
14. Frank FA, Peduzzi N, Brugger R, Morgenstern M, Cadosch D,Clauss M. Die septische arthritis. Ther Umsch. 2023;80(1):39-44.doi:10.1024/0040-5930/a001405
15. Goodsell S, Lewis A, Domanski K. Bilateral knee septic arthritis afterprostatic urethral lift: a case report. J Orthop Case Rep. 2023;13(3):68-71.doi:10.13107/jocr.2023.v13.i03.3588
Article available in :
Volume 1, Issue 4, 2023
Page : 92-94
https://doi.org/10.51271/JORR-0021
Article Information
Received : 18 Eki 2023
Accepted : 30 Eki 2023
Published : 30 Eki 2023
Corresponding Author :

Mehmet Kurt: Kutahya Health Sciences University, School of Medicine, Department of Orthopaedics and Traumatology

[email protected]
Citation : Kurt M, Ocak B, Canlı EA, Yılmaz S, Demirkıran ND. A rare case of bilateral septic arthritis: a case report. J Orthop Res Rehabil. 2023;1(4):92-94.

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