Journal List > J Korean Orthop Assoc > v.54(1) > 1117038

Ha, Lee, Park, and Kim: The Septic Knee Arthritis Caused by Klebsiella pneumoniae in a Patient with Type 2 Diabetes Mellitus and Osteoarthritis of the Knee

Abstract

Klebsiella pneumoniae causes that liver abscess mostly, also spread to pneumonia, meningitis, urinary tract infections. Septic arthritis caused by K. pneumoniae is a quite rare and has not been reported in Korea. Therefore, the authors report a case of the septic arthritis in the knee joint caused by K. pneumoniae in a patient with type 2 diabetes mellitus and osteoarthritis of the knee that successfully treated by early detection and arthroscopic synovectomy.

Figures and Tables

Figure 1

Radiographs show Kellgren-Lawrence Grade 2 osteoarthritis of the left knee.

jkoa-54-67-g001
Figure 2

Magnetic resonance imaging show joint fluid collection and synovial thickening with enhancement in suprapatellar pouch.

jkoa-54-67-g002
Figure 3

Arthroscopic findings show infective fluid collection in suprapatellar pouch and intact lateral, medial meniscus.

jkoa-54-67-g003

Notes

CONFLICTS OF INTEREST The authors have nothing to disclose.

References

1. Maroncle N, Balestrino D, Rich C, Forestier C. Identification of Klebsiella pneumoniae genes involved in intestinal colonization and adhesion using signature-tagged mutagenesis. Infect Immun. 2002; 70:4729–4734.
crossref pmid pmc
2. Hsieh PF, Lin TL, Lee CZ, Tsai SF, Wang JT. Serum-induced iron-acquisition systems and TonB contribute to virulence in Klebsiella pneumoniae causing primary pyogenic liver abscess. J Infect Dis. 2008; 197:1717–1727.
pmid
3. Lee HC, Chuang YC, Yu ML, et al. Clinical implications of hypermucoviscosity phenotype in Klebsiella pneumoniae isolates: association with invasive syndrome in patients with community-acquired bacteremia. J Intern Med. 2006; 259:606–614.
4. Silke S, Kate B, David G. Septic arthritis due to extended spectrum beta lactamase producing Klebsiella pneumoniae. Joint Bone Spine. 2007; 74:275–278.
crossref pmid
5. Lin CJ, Lin CY, Li WY, et al. Repeated bacteremia with subsequent septic arthritis caused by Klebsiella pneumoniae capsular serotype K57 in a patient with diabetes. Clin Infect Dis. 2009; 49:1284–1286.
pmid
6. Ohl CA, Forster D. Infectious arthritis of native joints. In : Mandell GL, Bennett JE, Dolin R, editors. Mandell, douglas, and bennett's principles and practice of infectious diseases. 6th ed. Philadelphia: Elsevier;2005. p. 1302–1317.
7. Chew LC. Septic monoarthritis and osteomyelitis in an elderly man following Klebsiella pneumoniae genitourinary infection: case report. Ann Acad Med Singapore. 2006; 35:100–103.
pmid
8. Stutz G, Kuster MS, Kleinstück F, Gächter A. Arthroscopic management of septic arthritis: stages of infection and results. Knee Surg Sports Traumatol Arthrosc. 2000; 8:270–274.
crossref pmid
9. Vispo Seara JL, Barthel T, Schmitz H, Eulert J. Arthroscopic treatment of septic joints: prognostic factors. Arch Orthop Trauma Surg. 2002; 122:204–211.
10. Kirpalani PA, In Y, Choi NY, Koh HS, Kim JM, Han CW. Two-stage total knee arthroplasty for non-salvageable septic arthritis in diabetes mellitus patients. Acta Orthop Belg. 2005; 71:315–320.
pmid
TOOLS
ORCID iDs

Sang-Hoon Park
https://orcid.org/0000-0002-9085-6667

Similar articles