این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Iranian Journal of Microbiology، جلد ۱۱، شماره ۲، صفحات ۱۸۷-۱۹۰
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عنوان انگلیسی Bilateral septic arthritis of the knee caused by group B streptococci: a case report
چکیده انگلیسی مقاله Septic arthritis (SA) remains to be a critical diagnosis for a swollen knee at the emergency department. Here, we report a rare case of bilateral knee arthritis in a 59-year-old diabetic woman who had been immobilized 5 months prior to admission. Her right knee swelling exacerbated in 10 days leading to left knee involvement. In 5 days the clear synovial tap in the first hospital turned purulent in the second hospital and empirical antibiotics get started with high WBC count, dominant neutrophils, and Gram-positive cocci in smear. Knee arthrotomy was performed after 6 days in the third hospital with the same smear results but negative blood and synovial cultures of both knees. When followed in retrograde, two positive blood cultures were reported for Streptococcus agalactiae in the second hospital. Vancomycin was changed to ampicillin and symptoms were resolved in 4 weeks. Despite improvement, mobility was not retained. Uncommon etiologic agents of knee arthritis should be in mind specifically in debilitated patients. Timely initiation of proper antibiotics hinders permanent sequels, hence clinicians should be suspicious of such organisms.
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نویسندگان مقاله | Seyed Ali Dehghan Manshadi
Department of Infectious Diseases, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Ramazanali Alizadeh
Department of Infectious Diseases, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Mohammadreza Salehi
Department of Infectious Diseases, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Arash Seifi
Department of Infectious Diseases, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Mojgan Seifi
Department of Orthopedics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
نشانی اینترنتی http://ijm.tums.ac.ir/index.php/ijm/article/view/2003
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