Journal article
Native joint septic arthritis due to Kingella kingae in an adult
IDCases, Vol.24, p.e01106
2021
DOI: 10.1016/j.idcr.2021.e01106
PMCID: PMC8047495
PMID: 33889495
Abstract
A 65-year-old woman with chronic osteoarthritis of the knees presented with a one-week history of acutely worsening right knee pain and swelling. Arthrocentesis was performed and synovial fluid was indicative of septic arthritis with a negative Gram stain for bacteria. Magnetic Resonance Imaging (MRI) was obtained, revealing a large anterior periarticular abscess with concomitant septic arthritis. Orthopedic surgeons performed urgent incision and drainage of the abscess and washout of the joint. Synovial fluid culture grew Kingella kingae and the patient was treated with four weeks of ceftriaxone with improvement in both clinical symptoms and laboratory values. Kingella kingae is a common cause of pediatric bone and joint infection but remains an exceedingly rare cause of native joint septic arthritis among immunocompetent adults. Kingella spp are largely susceptible to beta-lactam antimicrobials.
Details
- Title: Subtitle
- Native joint septic arthritis due to Kingella kingae in an adult
- Creators
- Benjamin Chen - University of Iowa Hospitals and ClinicsTakaaki Kobayashi - University of Iowa Hospitals and ClinicsHasan Samra - University of IowaPoorani Sekar - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- IDCases, Vol.24, p.e01106
- DOI
- 10.1016/j.idcr.2021.e01106
- PMID
- 33889495
- PMCID
- PMC8047495
- NLM abbreviation
- IDCases
- ISSN
- 2214-2509
- eISSN
- 2214-2509
- Publisher
- Elsevier Ltd
- Language
- English
- Date published
- 2021
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9984359684402771
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