The Septic Knee Arthritis Caused by Klebsiella pneumoniae in a Patient with Type 2 Diabetes Mellitus and Osteoarthritis of the Knee

Joong-Won Ha; Sanghyeon Lee; Sang-Hoon Park; Tae-Yup Kim

doi:10.4055/jkoa.2019.54.1.67

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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

Case Report

Journal of the Korean Orthopaedic Association 2019; 54(1): 67-71.

Published online: 27 February 2019

DOI: https://doi.org/10.4055/jkoa.2019.54.1.67

The Septic Knee Arthritis Caused by Klebsiella pneumoniae in a Patient with Type 2 Diabetes Mellitus and Osteoarthritis of the Knee

Joong-Won Ha, M.D., Sanghyeon Lee, M.D., Sang-Hoon Park, M.D.

, Tae-Yup Kim, M.D.^*

Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, Korea.

^*Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Correspondence to: Sang-Hoon Park, M.D. Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsandong-gu, Goyang 10444, Korea. TEL: +82-31-900-0540 FAX: +82-31-900-0343, orthomania@gmail.com

Received 27 November 2017 Revised 13 February 2018 Accepted 23 February 2018

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/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: knee, septic arthritis, Klebsiella pneumonia

Figures and Tables

Figure 1

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

Figure 2

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

Figure 3

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

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

References

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