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Lee, Lee, Heo, Choi, Jung, Oh, and Moon: A Case of Prosthetic Knee Joint Infection Caused by Streptococcus agalactiae
Case Report
Journal of Rheumatic Diseases

Journal of Rheumatic Diseases 2012; 19(5): 295-298.

Published online: 31 October 2012

DOI: https://doi.org/10.4078/jrd.2012.19.5.295

A Case of Prosthetic Knee Joint Infection Caused by Streptococcus agalactiae

Sang Hoon Lee, Won Ho Lee, Jeong Won Heo, Jang-Won Choi, Chul Min Jung, Won Sup Oh, Ki Won Moon

Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.

Corresponding to: Ki Won Moon, Department of Internal Medicine, Kangwon National University School of Medicine, Hyoja 3-dong, Chuncheon 200-722, Korea. kiwonmoon@kangwon.ac.kr

Received 10 October 2011       Revised 24 November 2011       Accepted 25 November 2011

Copyright © 2012 by The Korean College of Rheumatology

(free-access):

This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Recently the incidence of Group B streptococcus (Streptococcus agalactiae) infection has been increased in nonpregnant adults, especially including the elderly and those with underlying diseases. One year ago, a 72-year-old diabetic woman underwent both total knee replacement and then received intermittently acupuncture due to both knee pain. Five days ago, she developed painful swelling on right knee joint. The synovial fluid showed leukocytosis (WBC 8,200/mm3), she was diagnosed as prosthetic joint infection, and treated with cefazolin. Her condition was rapidly aggravated despite of antibiotics therapy, open debridement and drainage was performed. But she expired due to sepsis. Both blood and synovial fluid culture yielded S. agalactiae. We reported a case of prosthetic knee joint infection caused by S. agalactiae.

Keywords: Streptococcus agalactiae, Prosthetic knee infection

Figures and Tables

Figure 1
Both knee X-rays showed no signs of infection such as loosening, or osteolysis. (A) Right knee and (B) left knee X-rays.
jrd-19-295-g001
Figure 2
The synovial fluid aspirated from left knee was turbid and purulent.
jrd-19-295-g002

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