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Lee, Lee, Yang, Kang, Kim, Sin, and Lee: A Case of Septic Arthritis of the Knee Joint due to Group D Non-typhoidal Salmonella
Case Report
Infection & Chemotherapy

Infection & Chemotherapy 2012; 44(4): 303-306.

Published online: 31 August 2012

DOI: https://doi.org/10.3947/ic.2012.44.4.303

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, SangRok Lee2

1Department of Internal Medicine College of Medicine, The Catholic University of Korea, Seoul, Korea.

2Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.

Correspondence to SangRoK Lee, M.D. Department of Internal Medicine, CheongJu St. Mary's Hospital, 589-5 Jujung-dong, Sandang-gu, Cheongju 360-568, Korea. Tel: +82-43-219-8000, Fax: +82-43-211-9030, evergreenlee@nate.com

Received 21 October 2011       Revised 25 March 2012       Accepted 24 April 2012

Copyright © 2012 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy

(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

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 patient's 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

Figures and Tables

Figure 1
Simple X-ray of both knees. Shows a narrowing interarticular space and spurs forming on the margins of the joints.
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Figure 2
Degenerative meniscus and cruciate ligaments are visible on arthroscopic. Synovitis and mucus film are noted at the synovium.
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