Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty

Background. While Corynebacterium striatum and other Corynebacterium species were historically considered contaminants, they are recently being identified as pathogens with increasing frequency. Case Summary. We report the case of a 78-year-old gentleman with a three-year history of knee pain and es...

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Main Authors: Katharine Hollnagel, Jacob Willen, Michael Ellis, Yalda Soleimanifard, Robert Booth, Sumon Nandi
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2020/1392182
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author Katharine Hollnagel
Jacob Willen
Michael Ellis
Yalda Soleimanifard
Robert Booth
Sumon Nandi
author_facet Katharine Hollnagel
Jacob Willen
Michael Ellis
Yalda Soleimanifard
Robert Booth
Sumon Nandi
author_sort Katharine Hollnagel
collection DOAJ
description Background. While Corynebacterium striatum and other Corynebacterium species were historically considered contaminants, they are recently being identified as pathogens with increasing frequency. Case Summary. We report the case of a 78-year-old gentleman with a three-year history of knee pain and established diagnosis of osteoarthritis referred for consideration for total knee arthroplasty. He had no knee pain with passive range-of-motion. Plain films demonstrated bony erosions atypical for osteoarthritis. Joint aspiration white blood cell count was 30,548/mm3, but multiple cultures were positive for C. striatum. The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin. Conclusion. To our knowledge, this is the first report of chronic C. striatum septic arthritis of a native joint and only the third case of C. striatum septic arthritis of the knee.
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issn 2090-6749
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series Case Reports in Orthopedics
spelling doaj-art-cca720aa4ef4494698bc62f223fe845f2025-02-03T05:51:46ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/13921821392182Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee ArthroplastyKatharine Hollnagel0Jacob Willen1Michael Ellis2Yalda Soleimanifard3Robert Booth4Sumon Nandi5Department of Orthopaedic Surgery, The University of Toledo Medical Center, USADepartment of Orthopaedic Surgery, The University of Toledo Medical Center, USADepartment of Infectious Disease, The University of Toledo Medical Center, USADepartment of Pathology, The University of Toledo Medical Center, USADepartment of Pathology, The University of Toledo Medical Center, USADepartment of Orthopaedics, University of Maryland School of Medicine, USABackground. While Corynebacterium striatum and other Corynebacterium species were historically considered contaminants, they are recently being identified as pathogens with increasing frequency. Case Summary. We report the case of a 78-year-old gentleman with a three-year history of knee pain and established diagnosis of osteoarthritis referred for consideration for total knee arthroplasty. He had no knee pain with passive range-of-motion. Plain films demonstrated bony erosions atypical for osteoarthritis. Joint aspiration white blood cell count was 30,548/mm3, but multiple cultures were positive for C. striatum. The infection was successfully treated with open irrigation and debridement, complete synovectomy, and six weeks of intravenous daptomycin. Conclusion. To our knowledge, this is the first report of chronic C. striatum septic arthritis of a native joint and only the third case of C. striatum septic arthritis of the knee.http://dx.doi.org/10.1155/2020/1392182
spellingShingle Katharine Hollnagel
Jacob Willen
Michael Ellis
Yalda Soleimanifard
Robert Booth
Sumon Nandi
Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty
Case Reports in Orthopedics
title Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty
title_full Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty
title_fullStr Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty
title_full_unstemmed Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty
title_short Chronic Corynebacterium striatum Septic Arthritis in a Patient Referred for Total Knee Arthroplasty
title_sort chronic corynebacterium striatum septic arthritis in a patient referred for total knee arthroplasty
url http://dx.doi.org/10.1155/2020/1392182
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