Septic arthritis caused by Erysipelothrix rhusiopathiae in a prosthetic knee joint.

Infectious and Tropical Diseases Department, La Source Hospital, Orléans, France.
Journal of clinical microbiology (Impact Factor: 4.16). 11/2009; 48(1):333-5. DOI: 10.1128/JCM.01683-09
Source: PubMed

ABSTRACT We describe the third case of prosthetic infection due to Erysipelothrix rhusiopathiae. The patient, a 68-year-old woman, had had total knee arthroplasty 12 months before diagnosis. She had been in contact with swine at home. We review the seven previous reports of septic arthritis due to E. rhusiopathiae.

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    ABSTRACT: Erysipelothrix rhusiopathiae is an established animal pathogen while the zoonotic infections in humans are rarely reported. Infections occur after exposure to animals or animal products that are mostly occupational in adults. Here we report in a child for the first time septic arthritis and osteomyelitis without an identifiable risk factor. A 5-year-old male child was admitted with pain in the left hip joint and inability to bear weight on the limb. Clinical examination followed by radiological and magnetic resonance imaging was suggestive of septic arthritis. Erysipelothrix rhusiopathiae grew from peroperative joint specimen. The infection was resolved following arthrotomy, joint lavage and antibiotic therapy.
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