A case of unusual septic knee arthritis with Brucella abortus after arthroscopic meniscus surgery

We present a 51-year-old male patient with Brucella abortus septic arthritis in the right knee following arthroscopic meniscus surgery. He had eaten a traditional dish of raw minced cattle conceptus (bovine fetus) that was prepared after the cow was slaughtered. Despite treatment with empirical antibiotics and debridement of the postoperative surgical wound, the infection persisted without improvement. Polymerase chain reaction sequencing identified Brucella abortus from tissue samples obtained from the patient. After confirmation of the diagnosis of brucellar infection, antibiotics were replaced with doxycycline and rifampin, which were used for 4 months. In patients with a non-specific arthralgia who eat raw meat or live close to animals, it is important to consider the possibility of septic arthritis due to infection with Brucella spp.

Kaynakça

Wernaers P, Handelberg F. Brucellar arthritis of the knee: a case report with delayed diagnosis. Acta Orthop Belg 2007;73:795-8.

Pourbagher A, Pourbagher MA, Savas L, Turunc T, Demiroglu YZ, Erol I, et al. Epidemiologic, clinical, and imaging findings in brucellosis patients with osteoarticular involvement. AJR Am J Roentgenol 2006;187:873-80.

Buzgan T, Karahocagil MK, Irmak H, Baran AI, Karsen H, Evirgen O, et al. Clinical manifestations and com- plications in 1028 cases of brucellosis: a retrospective evaluation and review of the literature. Int J Infect Dis 2010;14:469-78.

Ruiz-Iban MA, Crespo P, Diaz-Peletier R, Rozado AM, Lopez-Pardo A. Total hip arthroplasty infected by Bru- cella: a report of two cases. J Orthop Surg (Hong Kong) 2006;14:99-103.

Cloeckaert A, Verger JM, Grayon M, Grépinet O. Restric- tion site polymorphism of the genes encoding the major 25 kDa and 36 kDa outer-membrane proteins of Brucella. Microbiology 1995;141:2111-21.

Bosilkovski M, Krteva L, Caparoska S, Dimzova M. Os- teoarticular involvement in brucellosis: study of 196 cases in the Republic of Macedonia. Croat Med J 2004;45:727- 33.

Hashemi SH, Keramat F, Ranjbar M, Mamani M, Farzam A, Jamal-Omidi S. Osteoarticular complications of bru- cellosis in Hamedan, an endemic area in the west of Iran. Int J Infect Dis 2007;11:496-500.

Mert A, Ozaras R, Tabak F, Bilir M, Yilmaz M, Kurt C, et al. The sensitivity and specificity of Brucella agglutination tests. Diagn Microbiol Infect Dis 2003;46:241-3.

Zaks N, Sukenik S, Alkan M, Flusser D, Neumann L, Buskila D. Musculoskeletal manifestations of brucello- sis: a study of 90 cases in Israel. Semin Arthritis Rheum 1995;25:97-102.

McGill PE. Geographically specific infections and arthri- tis, including rheumatic syndromes associated with certain fungi and parasites, Brucella species and Mycobacterium leprae. Best Pract Res Clin Rheumatol 2003;17:289-307.

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