scholarly journals Septic arthritis of the knee due to <i>Pantoea</i> <i>agglomerans</i>: look for the thorn

2020 ◽  
Vol 6 (3) ◽  
pp. 51-55
Author(s):  
Tobias Koester ◽  
Taro Kusano ◽  
Henk Eijer ◽  
Robert Escher ◽  
Gabriel Waldegg

Abstract. We report on a patient with septic arthritis of the knee with Pantoea agglomerans after a penetrating black locust thorn injury. Antibiotics alone or in combination with an arthroscopy may be insufficient for achieving source control. Accurate medical history and open debridement with a search for a thorn fragment are key to successful treatment.

2012 ◽  
Vol 4 (6) ◽  
pp. 263-265 ◽  
Author(s):  
MUKESH SHARMA ◽  
◽  
DOGRA BB ◽  
RABINDRANATH MISRA ◽  
NAGESWARI GANDHAM ◽  
...  

2012 ◽  
Vol 31 (12) ◽  
pp. 1311-1312 ◽  
Author(s):  
Omer Rave ◽  
Marc Victor Assous ◽  
Philip J. Hashkes ◽  
Ehud Lebel ◽  
Irit Hadas-Halpern ◽  
...  

2020 ◽  
Vol 13 (6) ◽  
pp. e234188
Author(s):  
Khudaim Mohammed Mobeen ◽  
Janine Carter ◽  
Zaheer Ahmed ◽  
Jane Minton

We describe a rare case of bloodstream infection and disseminated septic arthritis in a relatively fit and well 73-year-old retired farmer and gamekeeper, due to the zoonotic organism Streptococcus equi. The presence of the organism in multiple joints led to slow clinical response to treatment and was complicated by relapse of infection and lengthy disability. Source control was achieved with multiple joint washouts and spinal cord decompression. Following this, a 6-week course of intravenous antibiotics was required for complete clearance of infection. After a long period of rehabilitation, the patient made a good recovery. This case demonstrates that S. equi can cause life threatening and difficult to treat sepsis in humans and requires a high index of suspicion in people who have regular contact with equine species, cattle and unpasteurised milk.


2000 ◽  
Vol 38 (1) ◽  
pp. 460-461
Author(s):  
C. De Champs ◽  
S. Le Seaux ◽  
J. J. Dubost ◽  
S. Boisgard ◽  
B. Sauvezie ◽  
...  

ABSTRACT Arthritis after plant injury is often apparently aseptic. We report two cases due to Pantoea agglomerans . In one case, the bacterium was isolated only from the pediatric blood culture media, BACTEC Peds Plus, monitored in BACTEC 9240, and not from the other media inoculated with the joint fluid. This procedure could help improve the diagnosis of septic arthritis.


2021 ◽  
Vol 18 (5) ◽  
pp. 89-96
Author(s):  
V. V. Kulabukhov ◽  
N. A. Zubareva ◽  
P. A. Yartsev

Sepsis is a life-threatening condition, which is manifested by the development of organ dysfunction due to generalized inflammation caused by the infection of various nature. Timely lesion debridement combined with adequate antibiotic therapy are important components of the successful treatment of sepsis. At the moment, there is no consensus about the volume and time of intervention in the development of surgical sepsis. The article discusses modern approaches to solving the problem of adequate sanitation of the source of infection. The results of few randomized trials in this area are presented.Source control is absolutely essential for the successful treatment of sepsis. However, it is difcult to create a unifed algorithm for surgical control for all cases due to different approaches depending on the infection location. Properly designed clinical trials are necessary to determine the optimal timing of surgery for sepsis and septic shock as least.


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