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Bilateral Septic Arthritis of the Knees in a Patient With Hair-Dye Poisoning

Bilateral septic arthritis (SA) is a rare presentation that is often associated with sepsis syndrome in patients with underlying risk factors. We present the case of a 25-year-old female with laryngeal oedema due to para phenylene diamine-containing hair-dye poisoning. She was receiving treatment wi...

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Autores principales: K M, Bhargav, Gulla, Virali, K, Ragamayi, Koneru, Susmith, Rangineni, Jayaprada
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510746/
https://www.ncbi.nlm.nih.gov/pubmed/37736465
http://dx.doi.org/10.7759/cureus.43853
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author K M, Bhargav
Gulla, Virali
K, Ragamayi
Koneru, Susmith
Rangineni, Jayaprada
author_facet K M, Bhargav
Gulla, Virali
K, Ragamayi
Koneru, Susmith
Rangineni, Jayaprada
author_sort K M, Bhargav
collection PubMed
description Bilateral septic arthritis (SA) is a rare presentation that is often associated with sepsis syndrome in patients with underlying risk factors. We present the case of a 25-year-old female with laryngeal oedema due to para phenylene diamine-containing hair-dye poisoning. She was receiving treatment with intravenous (IV) methylprednisolone and IV antibiotics along with airway management. The hospital course was complicated by new acute onset of bilateral knee pain and swelling while being on antibiotics. Arthrocentesis revealed purulent synovial fluid, which on culture grew Staphylococcus haemolyticus. The patient underwent arthroscopic washouts with IV and intra-articular antibiotic treatment. IV corticosteroid treatment could be the possible risk factor for systemic bacteraemia in this patient. 
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spelling pubmed-105107462023-09-21 Bilateral Septic Arthritis of the Knees in a Patient With Hair-Dye Poisoning K M, Bhargav Gulla, Virali K, Ragamayi Koneru, Susmith Rangineni, Jayaprada Cureus Internal Medicine Bilateral septic arthritis (SA) is a rare presentation that is often associated with sepsis syndrome in patients with underlying risk factors. We present the case of a 25-year-old female with laryngeal oedema due to para phenylene diamine-containing hair-dye poisoning. She was receiving treatment with intravenous (IV) methylprednisolone and IV antibiotics along with airway management. The hospital course was complicated by new acute onset of bilateral knee pain and swelling while being on antibiotics. Arthrocentesis revealed purulent synovial fluid, which on culture grew Staphylococcus haemolyticus. The patient underwent arthroscopic washouts with IV and intra-articular antibiotic treatment. IV corticosteroid treatment could be the possible risk factor for systemic bacteraemia in this patient.  Cureus 2023-08-21 /pmc/articles/PMC10510746/ /pubmed/37736465 http://dx.doi.org/10.7759/cureus.43853 Text en Copyright © 2023, K M et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
K M, Bhargav
Gulla, Virali
K, Ragamayi
Koneru, Susmith
Rangineni, Jayaprada
Bilateral Septic Arthritis of the Knees in a Patient With Hair-Dye Poisoning
title Bilateral Septic Arthritis of the Knees in a Patient With Hair-Dye Poisoning
title_full Bilateral Septic Arthritis of the Knees in a Patient With Hair-Dye Poisoning
title_fullStr Bilateral Septic Arthritis of the Knees in a Patient With Hair-Dye Poisoning
title_full_unstemmed Bilateral Septic Arthritis of the Knees in a Patient With Hair-Dye Poisoning
title_short Bilateral Septic Arthritis of the Knees in a Patient With Hair-Dye Poisoning
title_sort bilateral septic arthritis of the knees in a patient with hair-dye poisoning
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510746/
https://www.ncbi.nlm.nih.gov/pubmed/37736465
http://dx.doi.org/10.7759/cureus.43853
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