The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia– A Case Report
Introduction: Bakers (popliteal) cysts are cystic masses that arise from bursae swellings filled with synovial fluid. It is assumed that preceding osteoarthritic or meniscal injuries cause the synovial fluid to extrude and concentrate, forming a gel-like material within a cyst. Clinical presentation...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-04-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/04/01/the-presence-of-brucella-in-a-baker-cyst-a-case-report-in-jeddah-saudi-arabia-a-case-report/ |
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| author | Maan Jamjoom Shahad Khaldi Bsaim Altirkistani Sumayah Binladen Israa Salman |
| author_facet | Maan Jamjoom Shahad Khaldi Bsaim Altirkistani Sumayah Binladen Israa Salman |
| author_sort | Maan Jamjoom |
| collection | DOAJ |
| description | Introduction:
Bakers (popliteal) cysts are cystic masses that arise from bursae swellings filled with synovial fluid. It is assumed that preceding osteoarthritic or meniscal injuries cause the synovial fluid to extrude and concentrate, forming a gel-like material within a cyst. Clinical presentation is either symptomatic or asymptomatic swelling. The following symptoms are commonly associated with this condition: Knee pain, stiffness, and limited knee range of motion. Based on symptomatology and etiology, the management plan can be divided into conservative versus surgical intervention, by either decompression or excision. In most cases, baker cysts are not associated with infections. However, in our case report, we found that the patient had a positive Brucella culture in a symptomatic baker cyst.
Case Report:
This is an 84-year-old gentleman, who is known to have diabetes, hypertension, dyslipidemia, and heart disease presented to the emergency medicine department with complains of knee pain and swelling. The patient mentioned a recent ingestion of unpasteurized milk and a positive history of brucellosis infection years ago. The knee aspiration of the cyst resulted in a positive Brucella culture. The treatment involves eradicating the infection with intravenous antibiotics and then decompressing or excising the cyst, depending on the patient’s clinical symptoms. Regarding our management approach, the patient underwent a conservative management with intravenous antibiotics.
Conclusion:
In comparison to other more common organisms, such as Staphylococcus aureus species, Brucella is rarely found in baker’s cysts. However, as demonstrated in our case report, it is important to keep infections, as rare as brucellosis, in the differential diagnosis of baker’s cysts to provide the most appropriate management for patients. |
| format | Article |
| id | doaj-art-080d9bdb756a4846b1ad6acac735378e |
| institution | Kabale University |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-080d9bdb756a4846b1ad6acac735378e2025-08-20T03:31:12ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-04-01154363910.13107/jocr.2025.v15.i04.5436The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia– A Case ReportMaan JamjoomShahad KhaldiBsaim AltirkistaniSumayah BinladenIsraa SalmanIntroduction: Bakers (popliteal) cysts are cystic masses that arise from bursae swellings filled with synovial fluid. It is assumed that preceding osteoarthritic or meniscal injuries cause the synovial fluid to extrude and concentrate, forming a gel-like material within a cyst. Clinical presentation is either symptomatic or asymptomatic swelling. The following symptoms are commonly associated with this condition: Knee pain, stiffness, and limited knee range of motion. Based on symptomatology and etiology, the management plan can be divided into conservative versus surgical intervention, by either decompression or excision. In most cases, baker cysts are not associated with infections. However, in our case report, we found that the patient had a positive Brucella culture in a symptomatic baker cyst. Case Report: This is an 84-year-old gentleman, who is known to have diabetes, hypertension, dyslipidemia, and heart disease presented to the emergency medicine department with complains of knee pain and swelling. The patient mentioned a recent ingestion of unpasteurized milk and a positive history of brucellosis infection years ago. The knee aspiration of the cyst resulted in a positive Brucella culture. The treatment involves eradicating the infection with intravenous antibiotics and then decompressing or excising the cyst, depending on the patient’s clinical symptoms. Regarding our management approach, the patient underwent a conservative management with intravenous antibiotics. Conclusion: In comparison to other more common organisms, such as Staphylococcus aureus species, Brucella is rarely found in baker’s cysts. However, as demonstrated in our case report, it is important to keep infections, as rare as brucellosis, in the differential diagnosis of baker’s cysts to provide the most appropriate management for patients.https://jocr.co.in/wp/2025/04/01/the-presence-of-brucella-in-a-baker-cyst-a-case-report-in-jeddah-saudi-arabia-a-case-report/poplitealbaker’s cystbrucellosisknee aspiration |
| spellingShingle | Maan Jamjoom Shahad Khaldi Bsaim Altirkistani Sumayah Binladen Israa Salman The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia– A Case Report Journal of Orthopaedic Case Reports popliteal baker’s cyst brucellosis knee aspiration |
| title | The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia– A Case Report |
| title_full | The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia– A Case Report |
| title_fullStr | The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia– A Case Report |
| title_full_unstemmed | The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia– A Case Report |
| title_short | The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia– A Case Report |
| title_sort | presence of brucella in a baker cyst a case report in jeddah saudi arabia a case report |
| topic | popliteal baker’s cyst brucellosis knee aspiration |
| url | https://jocr.co.in/wp/2025/04/01/the-presence-of-brucella-in-a-baker-cyst-a-case-report-in-jeddah-saudi-arabia-a-case-report/ |
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