폐렴사슬알균 균혈증과 동반된 양측 무릎의 화농성 관절염
A Case of Bilateral Knee Septic Arthritis Caused by Pneumococcal Bacteremia
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Pneumococcus can cause pneumonia, sinusitis, infective endocarditis, meningitis and primary bacteremia. However, few reports in the literature show bilateral septic arthritis with pneumococcal bacteremia. We report on a case of a 78-year old woman who presented with fever, pain and swelling in both knees. Both knee fluid aspirates were purulent with thick viscosity, and the gram stain revealed gram positive cocci in chains. The patient underwent emergent washing and arthroscopic debridement, followed with empirical antibiotics treatment. Two out of two blood cultures were positive for penicillin-susceptible Streptococcus pneumonia. Synovial fluid cultures were also positive for S. pneumoniae. The patient was treated with intravenous ceftriaxone for 4 weeks. Bilateral knee septic arthritis with pneumococcal bacteremia is rarely reported. Here we report on the case with a review of the literature.
Abstract
Pneumococcus can cause pneumonia, sinusitis, infective endocarditis, meningitis and primary bacteremia. However, few reports in the literature show bilateral septic arthritis with pneumococcal bacteremia. We report on a case of a 78-year old woman who presented with fever, pain and swelling in both knees. Both knee fluid aspirates were purulent with thick viscosity, and the gram stain revealed gram positive cocci in chains. The patient underwent emergent washing and arthroscopic debridement, followed with empirical antibiotics treatment. Two out of two blood cultures were positive for penicillin-susceptible Streptococcus pneumonia. Synovial fluid cultures were also positive for S. pneumoniae. The patient was treated with intravenous ceftriaxone for 4 weeks. Bilateral knee septic arthritis with pneumococcal bacteremia is rarely reported. Here we report on the case with a review of the literature.
참고문헌 (10)
- Frankel RE, "Invasive pneumococcal disease: clinical features, serotypes, and antimicrobial resistance patterns in cases involving patients with and without human immunodeficiency virus infection", Clin Infect Dis, 23, pp.577~584 (1996)
- Ross JJ, "Pneumococcal septic arthritis: review of 190 cases", Clin Infect Dis, 36, pp.319~327 (2003)
- 김주희, "폐렴구균 균혈증에 의한 세균성 심내막염, 안구내염 및 화농성 관절염 1예", 대한내과학회지, 78(4), pp.499~502 (2010), 대한내과학회
- 박지영, "감염성 관절염과 뇌수막염을 동반한 페렴구균 감염성 심내막염 1예", Infection and Chemotherapy, 42(5), pp.307~310 (2010), 대한감염학회
- Musher DM, "Infections caused by Streptococcus pneumoniae: clinical spectrum, pathogenesis, immunity, and treatment", Clin Infect Dis, 14, pp.801~807 (1992)
- "Pneumococcal conjugate vaccine for childhood immunization- WHO position paper", Wkly Epidemiol Rec, 82, pp.93~104 (2007)
- Gransden WR, "Pneumococcal bacteraemia: 325 episodes diagnosed at St Thomas's Hospital", Br Med J (Clin Res Ed), 290, pp.505~508 (1985)
- 최원석, "국내 침습성 폐렴사슬알균 감염증의 임상양상", Infection and Chemotherapy, 42(3), pp.156~161 (2010), 대한감염학회
- Madoff LC, "Infectious arthritis. In: Harrison's Internal Medicine", pp.2842~2848 (2012), McGraw-Hill
- Raad J, "Septic arthritis in the adult caused by Streptococcus pneumoniae: a report of 4 cases and review of the literature", Semin Arthritis Rheum, 34, pp.559~569 (2004)