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Arthroscopic Treatment of Septic Arthritis of the Ankle Caused by Group B Streptococcus: A Case Report

Patient: Female, 60-year-old Final Diagnosis: Septic arthritis of the ankle Symptoms: Erythematous • swollen • tender Clinical Procedure: — Specialty: Infectious Diseases OBJECTIVE: Rare disease BACKGROUND: The incidence of septic arthritis of a native joint caused by group B streptococcus (GBS, Str...

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Autores principales: Soejima, Yu, Fujiwara, Toshifumi, Fujii, Masanori, Tsushima, Hidetoshi, Yamaguchi, Ryosuke, Nakashima, Yasuharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308858/
https://www.ncbi.nlm.nih.gov/pubmed/37363883
http://dx.doi.org/10.12659/AJCR.939719
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author Soejima, Yu
Fujiwara, Toshifumi
Fujii, Masanori
Tsushima, Hidetoshi
Yamaguchi, Ryosuke
Nakashima, Yasuharu
author_facet Soejima, Yu
Fujiwara, Toshifumi
Fujii, Masanori
Tsushima, Hidetoshi
Yamaguchi, Ryosuke
Nakashima, Yasuharu
author_sort Soejima, Yu
collection PubMed
description Patient: Female, 60-year-old Final Diagnosis: Septic arthritis of the ankle Symptoms: Erythematous • swollen • tender Clinical Procedure: — Specialty: Infectious Diseases OBJECTIVE: Rare disease BACKGROUND: The incidence of septic arthritis of a native joint caused by group B streptococcus (GBS, Streptococcus agalactiae) has been on the rise in non-pregnant women. GBS commonly colonizes the female genital tract. However, only a few reports have discussed serious cases of GBS infection, endocarditis, and joint infection associated with the Papanicolaou (Pap) smear test, which is routinely conducted to detect cervical cancer. Specifically, to the best of our knowledge, there have been few reports about arthroscopic treatment for septic arthritis of the ankle caused by GBS. CASE REPORT: A 60-year-old woman, who had previously completed the treatment of total laparoscopic hysterectomy with bilateral adnexectomy and postoperative chemotherapy for ovarian cancer, underwent a routine Pap smear test. Four weeks later, she suddenly presented with high fever and abdominal pain. The pain and swelling in her left ankle gradually worsened. Finally, septic arthritis of the ankle was diagnosed, and thus the patient underwent emergent arthroscopic irrigation and debridement. GBS was isolated from both the ankle fluid and blood culture. After surgical intervention and intravenous antibiotic administration, the patient’s symptoms gradually improved. Four months later, the patient had no ankle pain or restriction of ankle motion. CONCLUSIONS: Although cervical cytology tests are essential in screening for cervical cancer, transient bacteremia can be induced by the tests. Thus, physicians must watch out for the development of septic arthritis caused by GBS when patients present with fever or swollen joints after a recent Pap smear test. Emergent diagnosis and appropriate surgical intervention is also important.
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spelling pubmed-103088582023-06-30 Arthroscopic Treatment of Septic Arthritis of the Ankle Caused by Group B Streptococcus: A Case Report Soejima, Yu Fujiwara, Toshifumi Fujii, Masanori Tsushima, Hidetoshi Yamaguchi, Ryosuke Nakashima, Yasuharu Am J Case Rep Articles Patient: Female, 60-year-old Final Diagnosis: Septic arthritis of the ankle Symptoms: Erythematous • swollen • tender Clinical Procedure: — Specialty: Infectious Diseases OBJECTIVE: Rare disease BACKGROUND: The incidence of septic arthritis of a native joint caused by group B streptococcus (GBS, Streptococcus agalactiae) has been on the rise in non-pregnant women. GBS commonly colonizes the female genital tract. However, only a few reports have discussed serious cases of GBS infection, endocarditis, and joint infection associated with the Papanicolaou (Pap) smear test, which is routinely conducted to detect cervical cancer. Specifically, to the best of our knowledge, there have been few reports about arthroscopic treatment for septic arthritis of the ankle caused by GBS. CASE REPORT: A 60-year-old woman, who had previously completed the treatment of total laparoscopic hysterectomy with bilateral adnexectomy and postoperative chemotherapy for ovarian cancer, underwent a routine Pap smear test. Four weeks later, she suddenly presented with high fever and abdominal pain. The pain and swelling in her left ankle gradually worsened. Finally, septic arthritis of the ankle was diagnosed, and thus the patient underwent emergent arthroscopic irrigation and debridement. GBS was isolated from both the ankle fluid and blood culture. After surgical intervention and intravenous antibiotic administration, the patient’s symptoms gradually improved. Four months later, the patient had no ankle pain or restriction of ankle motion. CONCLUSIONS: Although cervical cytology tests are essential in screening for cervical cancer, transient bacteremia can be induced by the tests. Thus, physicians must watch out for the development of septic arthritis caused by GBS when patients present with fever or swollen joints after a recent Pap smear test. Emergent diagnosis and appropriate surgical intervention is also important. International Scientific Literature, Inc. 2023-06-26 /pmc/articles/PMC10308858/ /pubmed/37363883 http://dx.doi.org/10.12659/AJCR.939719 Text en © Am J Case Rep, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Soejima, Yu
Fujiwara, Toshifumi
Fujii, Masanori
Tsushima, Hidetoshi
Yamaguchi, Ryosuke
Nakashima, Yasuharu
Arthroscopic Treatment of Septic Arthritis of the Ankle Caused by Group B Streptococcus: A Case Report
title Arthroscopic Treatment of Septic Arthritis of the Ankle Caused by Group B Streptococcus: A Case Report
title_full Arthroscopic Treatment of Septic Arthritis of the Ankle Caused by Group B Streptococcus: A Case Report
title_fullStr Arthroscopic Treatment of Septic Arthritis of the Ankle Caused by Group B Streptococcus: A Case Report
title_full_unstemmed Arthroscopic Treatment of Septic Arthritis of the Ankle Caused by Group B Streptococcus: A Case Report
title_short Arthroscopic Treatment of Septic Arthritis of the Ankle Caused by Group B Streptococcus: A Case Report
title_sort arthroscopic treatment of septic arthritis of the ankle caused by group b streptococcus: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308858/
https://www.ncbi.nlm.nih.gov/pubmed/37363883
http://dx.doi.org/10.12659/AJCR.939719
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