Cargando…

Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report

Klebsiella pneumoniae is an uncommon cause of septic arthritis in adults. However, late detection can cause serious complications, including joint destruction and immobility. The purpose of this study was to report a case of successfully treated septic arthritis of the hip joint (SAHJ) caused by K....

Descripción completa

Detalles Bibliográficos
Autores principales: Moon, Jeong-Bo, Lee, Jun-Hwan, Ryu, Byung-Ju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of Yeungnam Medical Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076912/
https://www.ncbi.nlm.nih.gov/pubmed/35108765
http://dx.doi.org/10.12701/yujm.2021.01613
_version_ 1785020240986374144
author Moon, Jeong-Bo
Lee, Jun-Hwan
Ryu, Byung-Ju
author_facet Moon, Jeong-Bo
Lee, Jun-Hwan
Ryu, Byung-Ju
author_sort Moon, Jeong-Bo
collection PubMed
description Klebsiella pneumoniae is an uncommon cause of septic arthritis in adults. However, late detection can cause serious complications, including joint destruction and immobility. The purpose of this study was to report a case of successfully treated septic arthritis of the hip joint (SAHJ) caused by K. pneumoniae. A 49-year-old female patient presented to our hospital with fever and progressive severe pain in the right hip area. Although there was no abnormality on plain radiographs, ultrasonography revealed diffuse swelling of the right hip joint. Under ultrasonography guidance, the hip joint fluid was aspirated, and Gram staining and culturing were performed. The patient’s pain was significantly reduced after the joint aspiration. The Gram staining and culturing revealed gram-negative bacilli, which were subsequently identified as K. pneumoniae. According to the results, systemic intravenous antibiotic (ceftriaxone) was administered without complications, and the patient was discharged on oral antibiotic (ciprofloxacin). Clinical cases of septic arthritis of the knee or sacroiliac joint have been occasionally reported in adults, but cases of SAHJ are rare. Moreover, K. pneumonia-induced SAHJ has not been reported to date. Therefore, we report this very rare case and its successful treatment.
format Online
Article
Text
id pubmed-10076912
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Journal of Yeungnam Medical Science
record_format MEDLINE/PubMed
spelling pubmed-100769122023-04-07 Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report Moon, Jeong-Bo Lee, Jun-Hwan Ryu, Byung-Ju J Yeungnam Med Sci Case Report Klebsiella pneumoniae is an uncommon cause of septic arthritis in adults. However, late detection can cause serious complications, including joint destruction and immobility. The purpose of this study was to report a case of successfully treated septic arthritis of the hip joint (SAHJ) caused by K. pneumoniae. A 49-year-old female patient presented to our hospital with fever and progressive severe pain in the right hip area. Although there was no abnormality on plain radiographs, ultrasonography revealed diffuse swelling of the right hip joint. Under ultrasonography guidance, the hip joint fluid was aspirated, and Gram staining and culturing were performed. The patient’s pain was significantly reduced after the joint aspiration. The Gram staining and culturing revealed gram-negative bacilli, which were subsequently identified as K. pneumoniae. According to the results, systemic intravenous antibiotic (ceftriaxone) was administered without complications, and the patient was discharged on oral antibiotic (ciprofloxacin). Clinical cases of septic arthritis of the knee or sacroiliac joint have been occasionally reported in adults, but cases of SAHJ are rare. Moreover, K. pneumonia-induced SAHJ has not been reported to date. Therefore, we report this very rare case and its successful treatment. Journal of Yeungnam Medical Science 2022-01-13 /pmc/articles/PMC10076912/ /pubmed/35108765 http://dx.doi.org/10.12701/yujm.2021.01613 Text en Copyright © 2023 Yeungnam University College of Medicine, Yeungnam University Institute of Medical Science https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Moon, Jeong-Bo
Lee, Jun-Hwan
Ryu, Byung-Ju
Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report
title Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report
title_full Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report
title_fullStr Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report
title_full_unstemmed Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report
title_short Septic arthritis of the hip joint caused by Klebsiella pneumoniae: a case report
title_sort septic arthritis of the hip joint caused by klebsiella pneumoniae: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076912/
https://www.ncbi.nlm.nih.gov/pubmed/35108765
http://dx.doi.org/10.12701/yujm.2021.01613
work_keys_str_mv AT moonjeongbo septicarthritisofthehipjointcausedbyklebsiellapneumoniaeacasereport
AT leejunhwan septicarthritisofthehipjointcausedbyklebsiellapneumoniaeacasereport
AT ryubyungju septicarthritisofthehipjointcausedbyklebsiellapneumoniaeacasereport