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A Case of Septic Arthritis of the Knee Joint due to Group D Non-typhoidal Salmonella
SuHyun Lee1, Ha Ni Lee1, HeaKyung Yang1, JuHyun Kang1, NaYoung Kim1, YunMi Sin1, and SangRok Lee2
1Department of Internal Medicine College of Medicine, The Catholic University of Korea, Seoul; 2Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea
Vol.44 Num.4 (p303~306)
Osteoarticular infections due to non-typhoidal Salmonella are rare, occurring with an incidence rate of 0.1-0.2%. An immunocompromised state and the existence of sickle cell anemia are known risk factors for development of septic arthritis due to Salmonella.
In this report, we describe a patient with septic arthritis of the left knee caused by non-typhoidal Salmonella . An 82-year-old woman visited the emergency room presenting with left knee pain, fever and dyspnea. The patient had osteoarthritis and was treated with oral analgesics, but not with an intra-articular injection. Upon assessment of the patient뭩 joint fluid and blood culture results, non-typhoidal Salmonella (Salmonella group D) was detected. Arthroscopy-guided irrigation and debridement, and administration of oral antibiotics (fluoroquinolone) over six weeks were required in order to achieve a full recovery from the infection.
Keywords : Salmonella infection, Arthritis infectious, Bacteremia