Open AccessYOKENELLA REGENSBURGEI osteoarticular infection: a case report
Author(s) -
Adriana Oliveira Guilarde,
Ricardo Vieira Teles Filho,
Daniella da Mata Padilha,
Aderrone Vieira Mendes,
Kely Tiemi Matsunaga,
André Kipnis,
Ariana Rocha Romão Godoi
Publication year - 2021
Publication title -
revista de patologia tropical / journal of tropical pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.128
H-Index - 1
eISSN - 1080-8178
pISSN - 0301-0406
DOI - 10.5216/rpt.v50i4.69205
Subject(s) - medicine , trimethoprim , sulfamethoxazole , debridement (dental) , prosthesis , complication , rheumatoid arthritis , arthroplasty , antibiotics , surgery , antimicrobial , microbiology and biotechnology , biology
Yokenella regensburgei belongs to the family Enterobacteriaceae and is an opportunistic agent rarely associated with infections in humans. We report a case of osteoarticular knee infection caused by Y. regensburgei in a patient under treatment for rheumatoid arthritis, using corticosteroids, with complication in primary total arthroplasty of the knee. Y. regensburgei was identified using the VITEK2 system. Antimicrobial susceptibility testing was performed using the disk-diffusion method, according to the guidelines from the Clinical and Laboratory Standards Institute. The patient presented favorable clinical evolution after the second debridement, with complete removal of the prosthesis and antibiotic therapy with sulfamethoxazole/trimethoprim. This is the first case of Y. regensburgei infection described d in Brazil.KEY WORDS: Yokenella regensburgei; osteoarticular; infection; sulfamethoxazole; trimethoprim; prosthesis.