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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...

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Autores principales: Okoroha, Kelechi R., Gabbard, Michael D., Fitts, Jamal, Banka, Trevor R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2017
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.
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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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