Yersinia enterocolitica Prosthetic Joint Septic Arthritis Successfully Treated with Ceftriaxone

Yersinia enterocolitica is a Gram-negative coccobacillus that is known to cause gastroenteritis and symptoms mimicking appendicitis or terminal ileitis. It is also one of the culprit infections implicated in causing reactive arthritis. Rarely, it can cause musculoskeletal infections including osteomyelitis, septic arthritis, and discitis. We describe the case of a 70-year-old female with multiple comorbidities who presented with left knee pain and swelling after recent gastroenteritis. She was found to have Yersinia enterocolitica septic arthritis in her left knee prosthetic joint. The patient underwent an exchange of her prosthetic material and was successfully treated with a six-week course of ceftriaxone. Our article aims to highlight a rare manifestation of Yersinia enterocolitica infection and to point out an important differential for reactive arthritis after Yersinia enterocolitica infection.

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Selective Immunoglobulin M Deficiency and Terminal Ileitis due to Yersinia Enterocolitica Infection: A Clinically Interesting Coexistence

Gastroenterology & Hepatology Open Access ◽

10.15406/ghoa.2015.02.00036 ◽

2015 ◽

Vol 2 (1) ◽

Cited By ~ 1

Author(s):

Charalampos Spyropoulos

Keyword(s):

Yersinia Enterocolitica ◽

Immunoglobulin M ◽

Terminal Ileitis ◽

Enterocolitica Infection

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Yersinia enterocolitica Infection in Mice: A Possible Experimental Model for the Immunobiology of Gram-Negative Infections

Immunology and Its Impact on Infections in Surgery ◽

10.1007/978-3-642-79079-9_1 ◽

1995 ◽

pp. 3-7

Author(s):

I. B. Autenrieth ◽

M. Beer ◽

P. Hantschmann ◽

E. Bohn ◽

J. Heesemann

Keyword(s):

Experimental Model ◽

Yersinia Enterocolitica ◽

Gram Negative ◽

Enterocolitica Infection

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Native joint septic arthritis withVeillonellaspecies

BMJ Case Reports ◽

10.1136/bcr-2019-229953 ◽

2019 ◽

Vol 12 (5) ◽

pp. e229953

Author(s):

Syed Shah ◽

Daniel Havlichek

Keyword(s):

Staphylococcus Aureus ◽

Septic Arthritis ◽

Healthy Adult ◽

Sudden Onset ◽

Left Knee ◽

Healthy Adults ◽

Gram Negative ◽

Gram Negative Organisms ◽

Oral Metronidazole

Septic arthritis usually presents as subacute monoarticular inflammation. Majority of the cases in healthy adults are caused by methicillin-resistantStaphylococcus aureus,streptococciand certain gram-negative organisms, mostly in the setting of extremes of ages, trauma or immunosuppression. This is a case of a healthy adult with a sudden onset of inflammation of the knee joint, being diagnosed with septic arthritis of the left knee withVeillonellasp. growing from the joint aspirate on two successive cultures. The patient was treated with 6 weeks of oral metronidazole and 4 weeks of intravenous ceftriaxone in addition to arthroscopic drainage and irrigation. Rare causes of septic arthritis should be considered even in healthy adults with native joints. Closer follow-up might be needed to ensure successful treatment.

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Development of an experimental animal model for reactive arthritis induced by Yersinia enterocolitica infection.

Infection and Immunity ◽

10.1128/iai.55.3.721-726.1987 ◽

1987 ◽

Vol 55 (3) ◽

pp. 721-726 ◽

Cited By ~ 59

Author(s):

J L Hill ◽

D T Yu

Keyword(s):

Animal Model ◽

Yersinia Enterocolitica ◽

Experimental Animal ◽

Reactive Arthritis ◽

Experimental Animal Model ◽

Enterocolitica Infection

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Care Plans for Native and Prosthetic Joint Septic Arthritis, and Acute Hematogenous and Chronic Osteomyelitis

Canadian Journal of Infectious Diseases ◽

10.1155/2000/610409 ◽

2000 ◽

Vol 11 (suppl d) ◽

pp. 34D-40D

Author(s):

Stephen D Shafran ◽

Keyword(s):

Septic Arthritis ◽

Nursing Care ◽

Chronic Osteomyelitis ◽

Current Paper ◽

Care Plan ◽

Specific Therapy ◽

Gram Negative ◽

Care Plans ◽

Prosthetic Joints ◽

Prosthetic Joint

The current paper presents care plans for the treatment of septic arthritis of native and prosthetic joints, as well as for acute hematogenous and chronic osteomyelitis. A nursing care plan for septic arthritis and osteomyelitis is included, along with pathogen-specific therapy for common pathogens, including Gram-positive and Gram-negative cocci.

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Other Yersinia infections: yersiniosis

Oxford Textbook of Medicine ◽

10.1093/med/9780199204854.003.070617_update_001 ◽

2010 ◽

pp. 776-777

Author(s):

Michael B. Prentice

Keyword(s):

Abdominal Pain ◽

Yersinia Enterocolitica ◽

Erythema Multiforme ◽

Reactive Arthritis ◽

Yersinia Pseudotuberculosis ◽

Systemic Infection ◽

Late Complications ◽

Gram Negative ◽

Contaminated Food ◽

Gram Negative Organisms

Yersiniosis is caused by the enteropathogenic Gram-negative organisms Yersinia enterocolitica and Yersinia pseudotuberculosis, which are worldwide zoonotic pathogens. Disease is acquired by consumption of contaminated food or water and is commonest in childhood, and in colder climates. Presentation is with diarrhoea, fever and abdominal pain, which may mimic appendicitis. Late complications include reactive arthritis, erythema nodosum, and erythema multiforme. Systemic infection is more likely with ...

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A Case of Septic Arthritis of the Shoulder Due to Yersinia enterocolitica with Review of the Literature

Open Forum Infectious Diseases ◽

10.1093/ofid/ofu054 ◽

2014 ◽

Vol 1 (2) ◽

Cited By ~ 2

Author(s):

Justin Chan ◽

Rajesh Tim Gandhi

Keyword(s):

Risk Factors ◽

Septic Arthritis ◽

Yersinia Enterocolitica ◽

Cardiac Disease ◽

Review Of The Literature ◽

Intestinal Infections ◽

Enterocolitica Infection

Abstract Yersinia enterocolitica infection rarely can cause extra-intestinal infections. We present a case of septic arthritis of the shoulder due to this organism in an elderly man with liver and cardiac disease. We review previously published cases of Y. enterocolitica septic arthritis, and discuss risk factors and management.

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Reactive Arthritis following Asymptomatic Yersinia Infection

Scottish Medical Journal ◽

10.1177/003693308002500418 ◽

1980 ◽

Vol 25 (4) ◽

pp. 327-328 ◽

Cited By ~ 6

Author(s):

A. A. Dunk ◽

D. T. Dobbie ◽

D. A. Pitkeathly

Keyword(s):

Clinical Improvement ◽

Yersinia Enterocolitica ◽

Reactive Arthritis ◽

Stool Culture ◽

Lower Limbs ◽

Serological Tests ◽

Recent Infection ◽

Initial Infection ◽

Yersinia Infection ◽

Enterocolitica Infection

A case of an acute asymmetrical polyarthritis occurring in a teenage boy is described. This was shown by serological tests to be secondary to a recent infection with Yersinia enterocolitica. Reactive arthritis following infection by this organism is well recognised in Scandinavia. Only recently have two cases been reported in the U.K. (1,2). This is the first reported case in Scotland and is unusual in that the initial infection was asymptomatic. Clinical improvement was associated with falling Y. enterocolitica titres and a reduction in the E.S.R. The patient was HLA B 27 positive. It is suggested that all patients presenting with an acute asymmetrical polyarthritis predominantly affecting the lower limbs should be screened by stool culture and serology for recent Y. enterocolitica infection.

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