Azhar FAROOQUİ, Samer SALİH, Abdelmageed KAMBAL

Post Arthrotomy Prevotella bivia Septic Arthritis and Secondary Osteomyelitis

ABSTRACT Prevotella is a common gram-negative anaerobic rod that is frequently associated with female genitourinary tract infections, pelvic inflammatory disease, aspiration pneumonia, lung abscess and pleural empyema. Osteomyelitis in association with septic arthritis is rare with only a handful of cases reported worldwide. In this case study, we report a patient who presented with a clinical picture of septic arthritis complicated by the presence of a sinus tract at the site of a previous arthroscopic surgery. Initial sinus pus cultures demonstrated Streptococcus agalactiae, which were confirmed with intra-operative joint fluid cultures. After a brief period of clinical improvement following arthrotomy, a sudden clinical deterioration prompted re-cultures demonstrating heavy growth of Provetella bivia. Repeat MRI demonstrated new signs of osseous involvement. The patient was managed with a redo arthrotomy, extensive debridement of osteomyelitic tissue, washout and an extended antibiotic therapy regimen. This association is first of its kind in Saudi Arabia. J Microbiol Infect Dis 2019; 9(2):100-103.

Keywords:

Osteomyelitis, septic arthritis infectious disease, Prevotella, arthrotomy,

PDF

___

REFERENCES 1. Mikamo H, Kawazoe K, Izumi K, et al. Studies on the clinical implications of anaerobes, especially Prevotella bivia, in obstetrics and gynecology; J Infect Chemother 1998; 4: 177. 2. Hill GB. Anaerobic Flora of the Female Genital Tract. In: Lambe DW, Genco RJ, Mayberry-Carson KJ (eds). Anaerobic Bacteria. Springer, 1980, Boston, MA, USA. 3. Sharma H, Tal R, Clark NA, Segars JH. Microbiota and pelvic inflammatory disease.Semin Reprod Med 2014; 32(1):43-49. 4. Laiho K, Kotilainen P. Septic arthritis due to Prevotella bivia after intra-articular hip joint injection. Joint Bone Spine 2001; 68(5):443-444. 5. Nseir B, Cutrona A. Prosthetic septic arthritis secondary to Prevotella bivia bacteremia in a patient with polymyalgia rheumatica. Infect D Clin Pract 2008; 16(3):190-191. 6. Salman SA, Baharoon SA. Septic arthritis of the knee joint secondary to Prevotella bivia. Saudi Med J 2009; 30(3):426-428. 7. Alegre-Sancho JJ, Juanola X, Narvaez FJ, Roig-Escofet D. Septic arthritis due to Prevotella bivia in a patient with rheumatoid arthritis. Joint Bone Spine 2000; 67(3):228-229. 8. Nalmas S, Bishburg E, Chan T. Streptococcus constellatus and Prevotella bivia penile abscess. Scientific World J 2007; 7:1631-1633. 9. Sagristà M, Martin-Ezquerra G, Gallardo F, et al. Inguinal syndrome secondary to Prevotella bivia after accidental bite in orogenital sex. Sex Transm Infect 2012; 88:250-251. 10. Lepivert JC, Guinet V, Auquit-Auckbur I. Necrotizing Fasciitis of the Hand and Wrist Due to Prevotella bivia. J Hand Surg 2014; 40 (7):757-758. 11. Janssen S, van Donselaar-van der Pant KA, van der Weerd NC, et al. Abdominal Wall Phlebitis Due to Prevotella bivia Following Renal Transplantation in a Patient with an Occluded Inferior Vena Cava. Infection 2013; 41(1):271-274. 12. Hsu GJ, Chen CR, Lai MC, Luh SP. Chest Wall Abscess Due to Prevotella bivia. J Zhejiang Univ Sci B 2009; 10(3):233-6. 13. Huits RM, van Assen S, Wildeboer-Veloo AC, Verschuuren EA, Koeter GH. Prevotella bivia necrobacillosis following infectious mononucleosis. J Infect 2006; 53(2):e59-e63.

Journal of Microbiology and Infectious Diseases-Cover

ISSN: 2146-3158
Başlangıç: 2011
Yayıncı: Sağlık Araştırmaları Derneği

Arşiv