Septic arthritis byAggregatibacteraphrophilus: Case report

Introduction:  Septic arthritis by Aggregatibacter aphrophilus is an uncommon entity, so it's important to diagnose it early, to avoid serious consequences. In adults, the knee is the most affected site.Method: We present a case of a 17-year-old boy, with pain in the left knee since one month a...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Prestifilippo, Ana María, Chajud, Analía, Mobilia, Liliana, Boleas, Mariana, Piedrabuena, Milagros, Calgaro, Ileana
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
aggregatibacter aphrophilus
arthritis
infectious
synovial fluid
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/20011
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-20011
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic aggregatibacter aphrophilus
arthritis
infectious
synovial fluid
spellingShingle aggregatibacter aphrophilus
arthritis
infectious
synovial fluid
Prestifilippo, Ana María
Chajud, Analía
Mobilia, Liliana
Boleas, Mariana
Piedrabuena, Milagros
Calgaro, Ileana
Septic arthritis byAggregatibacteraphrophilus: Case report
topic_facet aggregatibacter aphrophilus
arthritis
infectious
synovial fluid
author Prestifilippo, Ana María
Chajud, Analía
Mobilia, Liliana
Boleas, Mariana
Piedrabuena, Milagros
Calgaro, Ileana
author_facet Prestifilippo, Ana María
Chajud, Analía
Mobilia, Liliana
Boleas, Mariana
Piedrabuena, Milagros
Calgaro, Ileana
author_sort Prestifilippo, Ana María
title Septic arthritis byAggregatibacteraphrophilus: Case report
title_short Septic arthritis byAggregatibacteraphrophilus: Case report
title_full Septic arthritis byAggregatibacteraphrophilus: Case report
title_fullStr Septic arthritis byAggregatibacteraphrophilus: Case report
title_full_unstemmed Septic arthritis byAggregatibacteraphrophilus: Case report
title_sort septic arthritis byaggregatibacteraphrophilus: case report
description Introduction:  Septic arthritis by Aggregatibacter aphrophilus is an uncommon entity, so it's important to diagnose it early, to avoid serious consequences. In adults, the knee is the most affected site.Method: We present a case of a 17-year-old boy, with pain in the left knee since one month ago. It shows an increase in local temperature, erythema and movement inability.A nuclear magnetic resonance (NMR) was performed and empirical treatment was given with cephalothin and clindamycin. A knee arthrotomy was realized, and intramedullary secretion and bone tissue was sent to study.Results: the NMR images were suggestive of an infectious process.In the culture gram-negative coccobacilli were isolated, later identified like as Aggregatibacter aphrophilus.According to this diagnostic, the treatment was changed to ceftriaxoneThe main conclusions: the rapidity and certainty in the choice of antimicrobial therapy is the most important step for a well evolution of this infection, therefore is very important to emphasize the importance of a correct identification of these rare microorganisms
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/20011
work_keys_str_mv AT prestifilippoanamaria septicarthritisbyaggregatibacteraphrophiluscasereport
AT chajudanalia septicarthritisbyaggregatibacteraphrophiluscasereport
AT mobilialiliana septicarthritisbyaggregatibacteraphrophiluscasereport
AT boleasmariana septicarthritisbyaggregatibacteraphrophiluscasereport
AT piedrabuenamilagros septicarthritisbyaggregatibacteraphrophiluscasereport
AT calgaroileana septicarthritisbyaggregatibacteraphrophiluscasereport
AT prestifilippoanamaria artritissepticaporaggregatibacteraphrophilus
AT chajudanalia artritissepticaporaggregatibacteraphrophilus
AT mobilialiliana artritissepticaporaggregatibacteraphrophilus
AT boleasmariana artritissepticaporaggregatibacteraphrophilus
AT piedrabuenamilagros artritissepticaporaggregatibacteraphrophilus
AT calgaroileana artritissepticaporaggregatibacteraphrophilus
first_indexed 2024-09-03T20:59:23Z
last_indexed 2024-09-03T20:59:23Z
_version_ 1809210055630782464
spelling I10-R327-article-200112024-08-27T18:22:03Z Septic arthritis byAggregatibacteraphrophilus: Case report Artritis séptica por Aggregatibacter aphrophilus Prestifilippo, Ana María Chajud, Analía Mobilia, Liliana Boleas, Mariana Piedrabuena, Milagros Calgaro, Ileana aggregatibacter aphrophilus arthritis infectious synovial fluid Introduction:  Septic arthritis by Aggregatibacter aphrophilus is an uncommon entity, so it's important to diagnose it early, to avoid serious consequences. In adults, the knee is the most affected site.Method: We present a case of a 17-year-old boy, with pain in the left knee since one month ago. It shows an increase in local temperature, erythema and movement inability.A nuclear magnetic resonance (NMR) was performed and empirical treatment was given with cephalothin and clindamycin. A knee arthrotomy was realized, and intramedullary secretion and bone tissue was sent to study.Results: the NMR images were suggestive of an infectious process.In the culture gram-negative coccobacilli were isolated, later identified like as Aggregatibacter aphrophilus.According to this diagnostic, the treatment was changed to ceftriaxoneThe main conclusions: the rapidity and certainty in the choice of antimicrobial therapy is the most important step for a well evolution of this infection, therefore is very important to emphasize the importance of a correct identification of these rare microorganisms IntroducciónAunque la artritis séptica es una entidad poco común, es importante debido a las graves consecuencias de un diagnóstico tardío o un incorrecto tratamiento. En adultos, la rodilla es el sitio más afectado. El objetivo de este trabajo es presentar un caso clínico de artritis séptica por Aggregatibacter aphrophilus en rodilla en un paciente joven, inmunocompetente, sin antecedentes patológicos.Materiales y métodos Se estudia el caso de un joven de 17 años, tabaquista, con un cuadro de 1 mes de evolución caracterizado por gonalgia izquierda, aumento de la temperatura local, eritema e impotencia funcional.  Se realizan análisis de sangre, una ecografía,y  resonancia magnética (RMN).Se solicitan hemocultivos y cultivos de líquido intrarticular de rodilla. En la RMN se observa una lesión expansiva en la región femoral, sugestiva de un proceso infeccioso. Se comienza tratamiento empírico con cefalotina y clindamicina.  Se realiza una artrotomia de rodilla enviándose para su estudio secreción endomedular, tejido óseo y endomedular.Resultados Los hemocultivos y el cultivo del líquido intraarticular fueron negativos, pero los materiales obtenidos por técnica quirúrgica fueron positivos para el cultivo, aislándose cocobacilos gram negativos, posteriormente identificados como Aggregatibacter aphrophilus Se realizó el diagnóstico de artritis séptica por Aggregatibacter aphrophilus y se roto el tratamiento antimicrobiano a ceftriaxona. Conclusión  La rapidez y la certeza en la elección de la terapia antimicrobiana son un paso decisivo para la evolución de la enfermedad, por lo tanto se remarca la importancia  de una correcta identificación de estos microorganismos poco frecuentes.   Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-02-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.spreadsheetml.sheet https://revistas.unc.edu.ar/index.php/med/article/view/20011 10.31053/1853.0605.v76.n1.20011 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 76 No. 1 (2019); 52-55 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 76 Núm. 1 (2019); 52-55 Revista da Faculdade de Ciências Médicas de Córdoba; v. 76 n. 1 (2019); 52-55 1853-0605 0014-6722 10.31053/1853.0605.v76.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/20011/23327 https://revistas.unc.edu.ar/index.php/med/article/view/20011/23286 https://revistas.unc.edu.ar/index.php/med/article/view/20011/26897 https://revistas.unc.edu.ar/index.php/med/article/view/20011/26898 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

Ejemplares similares