J Korean Orthop Assoc.  2019 Feb;54(1):67-71. 10.4055/jkoa.2019.54.1.67.

The Septic Knee Arthritis Caused by Klebsiella pneumoniae in a Patient with Type 2 Diabetes Mellitus and Osteoarthritis of the Knee

Affiliations
  • 1Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, Korea. orthomania@gmail.com
  • 2Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Klebsiella pneumoniae causes that liver abscess mostly, also spread to pneumonia, meningitis, urinary tract infections. Septic arthritis caused by K. pneumoniae is a quite rare and has not been reported in Korea. Therefore, the authors report a case of the septic arthritis in the knee joint caused by K. pneumoniae in a patient with type 2 diabetes mellitus and osteoarthritis of the knee that successfully treated by early detection and arthroscopic synovectomy.

Keyword

knee; septic arthritis; Klebsiella pneumonia

MeSH Terms

Arthritis*
Arthritis, Infectious
Diabetes Mellitus, Type 2*
Humans
Klebsiella pneumoniae*
Klebsiella*
Knee Joint
Knee*
Korea
Liver Abscess
Meningitis
Osteoarthritis*
Pneumonia
Urinary Tract Infections

Figure

  • Figure 1 Radiographs show Kellgren-Lawrence Grade 2 osteoarthritis of the left knee.

  • Figure 2 Magnetic resonance imaging show joint fluid collection and synovial thickening with enhancement in suprapatellar pouch.

  • Figure 3 Arthroscopic findings show infective fluid collection in suprapatellar pouch and intact lateral, medial meniscus.


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