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Choi, Lee, and Lee: Septic Knee Arthritis Caused by Group B Salmonella Species in a Patient with Systemic Lupus Erythematosus
Case Report
Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2011; 46(4): 340-344.

Published online: 31 August 2011

DOI: https://doi.org/10.4055/jkoa.2011.46.4.340

Septic Knee Arthritis Caused by Group B Salmonella Species in a Patient with Systemic Lupus Erythematosus

Choong-Hyeok Choi, M.D., Rae-Hyung Lee, M.D., Jin-Kyu Lee, M.D.

Department of Orthopedic Surgery, College of Medicine, Hanyang University, Seoul, Korea.

Correspondence to: Choong-Hyeok Choi, M.D. Department of Orthopaedic Surgery, College of Medicine, Hanyang University, 17, Haengdang-dong, Seongdong-gu, Seoul 133-792, Korea. TEL: +82-2-2290-8483 or 8485, FAX: +82-2-2299-3774, chhchoi@hanyang.ac.kr

Received 14 March 2011       Accepted 2 May 2011

Copyright © 2011 by The Korean Orthopaedic Association

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Infection is a leading cause of death in patients with systemic lupus erythematosus (SLE). Insufficiency of the reticuloendothelial system, immunosuppressive therapy and inadequate opsonization are the main predisposing factors for infection. Salmonella infection is one of the most common opportunistic bacterial infections in patients with SLE and it can provoke a bacteremia or a localized infection. We report here on a rare case of septic knee arthritis caused by Group B Salmonella in a SLE patient, and this was treated with arthroscopic irrigation and antibiotics.

Keywords: septic arthritis, systemic lupus erythematosus, Salmonella

Figures and Tables

Figure 1
Proton density weighted magnetic resonance imaging coronal view (A) shows geographic pattern of focal increases in signal intensity and irregularity of the subchondral cortical outline at distal femur and proximal tibia. Fat suppressed T2-weighted image (B) shows large amount of joint effusion.
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Figure 2
(A) Synovial debris and thick synovium at suprapatella pouch. (B) ACL is enveloped in a inflammatory synovium. (C) Softening was seen on the tibial cartilage.
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Figure 3
Photographs taken 3 months postoperatively show excellent range of motion of the infected knee without erythema.
jkoa-46-340-g003

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