Document Detail


Knee septic arthritis due to Streptococcus pyogenes associated with acute thrombosis of the tibial and peroneal veins: case report and review of the literature.
MedLine Citation:
PMID:  17454906     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the case of a 53-y-old patient who complained of fever, pain and oedema of the right knee and the right calf. Colour ultrasonography showed thrombosis of the tibial and peroneal veins, while paracentesis of the knee joint showed characteristics of an inflammatory exudate. Culture of the arthritic fluid revealed Streptococcus pyogenes. Thus, a diagnosis of a septic arthritis of the right knee in association with deep venous thrombosis of the right lower leg was established. From a review of the literature we found no other cases of septic arthritis in association with thrombosis of the adjacent vein. In conclusion, in cases of septic arthritis of a joint one has to consider ruling out thrombosis of the adjacent venous vessels, especially when oedema is not confined to the joint. Missing the diagnosis of such a complication will lead to increased morbidity and mortality.
Authors:
Petros I Rafailidis; Anastasios Kapaskelis; Matthew E Falagas
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Scandinavian journal of infectious diseases     Volume:  39     ISSN:  0036-5548     ISO Abbreviation:  Scand. J. Infect. Dis.     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-24     Completed Date:  2007-05-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0215333     Medline TA:  Scand J Infect Dis     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  368-70     Citation Subset:  IM    
Affiliation:
Alfa Institute of Biomedical Sciences (AIBS), Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Anti-Bacterial Agents / therapeutic use
Arthritis, Infectious / complications*,  microbiology
Clindamycin / therapeutic use
Female
Humans
Knee / microbiology*,  ultrasonography
Leg / blood supply*,  ultrasonography
Magnetic Resonance Imaging
Middle Aged
Streptococcal Infections / complications*
Streptococcus pyogenes / pathogenicity*
Synovial Fluid / microbiology
Thrombosis / microbiology*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 18323-44-9/Clindamycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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