Journal List > J Rheum Dis > v.23(5) > 1064285

Choi, Yun, Doo, Kim, Kim, and Oh: A Case of Infectious Arthritis due to Staphylococcus lugdunensis in Seronegative Rheumatoid Arthritis, Diabetes Mellitus Patient, after Intraarticular Hyaluronic Acid Injection

Abstract

Intraarticular hyaluronic acid injections for symptomatic treatment of osteoarthritis are widely used but can result in complications, such as infectious arthritis. Staphylococcus lugdunensis is a common normal skin flora but can cause severe infectious disease, such as infective endocarditis. We present the first report of infectious arthritis caused by methicillin-sensitive S. lugdunensis after intra-articular hyaluronic acid injection in an immunocompromised patient in Korea.

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Figure 1.
The patient's clinical course was improved after antibiotics treatment. WBC: white blood cell, CRP: C-reactive protein, d: day, mo: month.
jrd-23-321f1.tif
Figure 2.
(A) The anteroposterior view of both knee. (B) The lateral view of right knee. Marginal spurs and mild subchondral sclerosis in medial femo-rotibial (black arrow) & patellofemoral compartments at right knee joint. Marginal erosion and juxtaarticular osteoporosis at lateral tibial plateau are noted in the right knee joint with large amount effusion (white arrow).
jrd-23-321f2.tif
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