Open AccessA Case of Prosthetic Knee Joint Infection Caused byStreptococcus agalactiae
Author(s) -
Sang Hoon Lee,
Won Ho Lee,
Jeongwon Heo,
Jang-Won Choi,
Chul Min Jung,
Won Sup Oh,
Ki Won Moon
Publication year - 2012
Publication title -
journal of rheumatic diseases
Language(s) - English
Resource type - Journals
eISSN - 2093-940X
pISSN - 2233-4718
DOI - 10.4078/jrd.2012.19.5.295
Subject(s) - medicine , streptococcus agalactiae , cefazolin , leukocytosis , synovial fluid , surgery , debridement (dental) , septic arthritis , sepsis , knee joint , blood culture , group b , antibiotics , streptococcus , osteoarthritis , arthritis , microbiology and biotechnology , pathology , biology , genetics , alternative medicine , bacteria
Recently the incidence of Group B streptococcus (Streptococcus agalactiae) infection has been increased in nonpregnant adults, especially including the elderly and those with underlying diseases. One year ago, a 72-year-old diabetic woman underwent both total knee replacement and then received intermittently acupuncture due to both knee pain. Five days ago, she developed painful swelling on right knee joint. The synovial fluid showed leukocytosis (WBC 8,200/mm ), she was diagnosed as prosthetic joint infection, and treated with cefazolin. Her condition was rapidly aggravated despite of antibiotics therapy, open debridement and drainage was performed. But she expired due to sepsis. Both blood and synovial fluid culture yielded S. agalactiae. We reported a case of prosthetic knee joint infection caused by S. agalactiae.
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