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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Language: | English |
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Wiley
2020-01-01
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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. |
format | Article |
id | doaj-art-cca720aa4ef4494698bc62f223fe845f |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
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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