Infect Chemother.  2012 Aug;44(4):303-306. 10.3947/ic.2012.44.4.303.

A Case of Septic Arthritis of the Knee Joint due to Group D Non-typhoidal Salmonella

• Lee S
• Lee HN
• Yang H
• Kang J
• Kim N
• Sin Y
• Lee S

• KMID: 2045551
• DOI: http://doi.org/10.3947/ic.2012.44.4.303

Abstract

Osteoarticular infections due to non-typhoidal Salmonella are rare, occurring with an incidence rate of 0.1-0.2%. An immunocompromised state and the existence of sickle cell anemia are known risk factors for development of septic arthritis due to Salmonella. In this report, we describe a patient with septic arthritis of the left knee caused by non-typhoidal Salmonella . An 82-year-old woman visited the emergency room presenting with left knee pain, fever and dyspnea. The patient had osteoarthritis and was treated with oral analgesics, but not with an intra-articular injection. Upon assessment of the patient's joint fluid and blood culture results, non-typhoidal Salmonella (Salmonella group D) was detected. Arthroscopy-guided irrigation and debridement, and administration of oral antibiotics (fluoroquinolone) over six weeks were required in order to achieve a full recovery from the infection.

Keyword

Salmonella infection; Arthritis infectious; Bacteremia

MeSH Terms

Aged, 80 and over
Analgesics
Anemia, Sickle Cell
Anti-Bacterial Agents
Arthritis, Infectious
Bacteremia
Debridement
Dyspnea
Emergencies
Female
Fever
Humans
Incidence
Injections, Intra-Articular
Joints
Knee
Knee Joint
Osteoarthritis
Risk Factors
Salmonella
Salmonella Infections
Analgesics
Anti-Bacterial Agents

Figure

• 

  Figure 1 Simple X-ray of both knees. Shows a narrowing interarticular space and spurs forming on the margins of the joints.

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  Figure 2 Degenerative meniscus and cruciate ligaments are visible on arthroscopic. Synovitis and mucus film are noted at the synovium.

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