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Cutibacteriumacnes Septic Arthritis of the Nonoperated Knee: A Case Report
Cutibacterium (Propionibacterium) acnes , a gram-positive bacillus with low pathogenicity, is an uncommon but known cause of prosthetic joint infections, particularly related to shoulder surgery. C. acnes , however, is an extremely rare pathogen in the nonoperated knee joint. This report details an...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical Publishers
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553506/ https://www.ncbi.nlm.nih.gov/pubmed/28825032 http://dx.doi.org/10.1055/s-0037-1603970 |
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author | Okoroha, Kelechi R. Gabbard, Michael D. Fitts, Jamal Banka, Trevor R. |
author_facet | Okoroha, Kelechi R. Gabbard, Michael D. Fitts, Jamal Banka, Trevor R. |
author_sort | Okoroha, Kelechi R. |
collection | PubMed |
description | Cutibacterium (Propionibacterium) acnes , a gram-positive bacillus with low pathogenicity, is an uncommon but known cause of prosthetic joint infections, particularly related to shoulder surgery. C. acnes , however, is an extremely rare pathogen in the nonoperated knee joint. This report details an uncommon case of C. acnes septic knee arthritis after multiple intra-articular steroid injections in a 56-year-old male patient. After an indolent presentation and late diagnosis, the patient underwent surgical debridement with IV antibiotic management. This case illustrates that intra-articular corticosteroid injections for the management of osteoarthritis are not without risk. Literature supporting their use remains limited and clinicians should use proficient clinical judgment for appropriate patient selection for these injections. Vigilance following injections or aspirations of the knee should be maintained to identify the indolent clinical presentation of C. acnes septic arthritis. |
format | Online Article Text |
id | pubmed-5553506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Thieme Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-55535062017-08-18 Cutibacteriumacnes Septic Arthritis of the Nonoperated Knee: A Case Report Okoroha, Kelechi R. Gabbard, Michael D. Fitts, Jamal Banka, Trevor R. Surg J (N Y) Cutibacterium (Propionibacterium) acnes , a gram-positive bacillus with low pathogenicity, is an uncommon but known cause of prosthetic joint infections, particularly related to shoulder surgery. C. acnes , however, is an extremely rare pathogen in the nonoperated knee joint. This report details an uncommon case of C. acnes septic knee arthritis after multiple intra-articular steroid injections in a 56-year-old male patient. After an indolent presentation and late diagnosis, the patient underwent surgical debridement with IV antibiotic management. This case illustrates that intra-articular corticosteroid injections for the management of osteoarthritis are not without risk. Literature supporting their use remains limited and clinicians should use proficient clinical judgment for appropriate patient selection for these injections. Vigilance following injections or aspirations of the knee should be maintained to identify the indolent clinical presentation of C. acnes septic arthritis. Thieme Medical Publishers 2017-07-05 /pmc/articles/PMC5553506/ /pubmed/28825032 http://dx.doi.org/10.1055/s-0037-1603970 Text en https://creativecommons.org/licenses/by/4.0/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 work is properly cited. |
spellingShingle | Okoroha, Kelechi R. Gabbard, Michael D. Fitts, Jamal Banka, Trevor R. Cutibacteriumacnes Septic Arthritis of the Nonoperated Knee: A Case Report |
title | Cutibacteriumacnes
Septic Arthritis of the Nonoperated Knee: A Case Report
|
title_full | Cutibacteriumacnes
Septic Arthritis of the Nonoperated Knee: A Case Report
|
title_fullStr | Cutibacteriumacnes
Septic Arthritis of the Nonoperated Knee: A Case Report
|
title_full_unstemmed | Cutibacteriumacnes
Septic Arthritis of the Nonoperated Knee: A Case Report
|
title_short | Cutibacteriumacnes
Septic Arthritis of the Nonoperated Knee: A Case Report
|
title_sort | cutibacteriumacnes
septic arthritis of the nonoperated knee: a case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553506/ https://www.ncbi.nlm.nih.gov/pubmed/28825032 http://dx.doi.org/10.1055/s-0037-1603970 |
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