Case Report and Literature Review of Parvimonas micra: Difficult-to-Treat Arthritis in Hiding

被引:0
|
作者
Olabarrieta, Xabier Cenicacelaya [1 ]
Vallejo, Margarita Cabello [2 ]
Morell-Hita, Jose Luis [1 ]
Macia-Villa, Cristina [1 ]
机构
[1] Ramon Y Cajal Univ Hosp IRYCIS, Dept Rheumatol, Madrid 28034, Spain
[2] Ramon Y Cajal Univ Hosp IRYCIS, Dept Microbiol, Madrid 28034, Spain
关键词
septic arthritis; arthritis; crystal arthropathies; chondrocalcinosis; neoplasms; PEPTOSTREPTOCOCCUS-MICROS; INFECTION; KNEE;
D O I
10.3390/healthcare11212879
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Septic arthritis is a life-threatening rheumatological syndrome that is highly related to a patient's immune status and comorbidities, and although the most common clinical presentation is rapid-onset monoarthritis, it can also appear as subacute or chronic joint swelling. In these cases, differential diagnosis is more challenging, but early diagnosis and treatment is no less urgent to ensure a good global prognosis and the best outcome of the affected joint. Anaerobic microorganisms, such as Parvimonas micra, are an uncommon cause of septic arthritis (less than 5% of cases) but may be the cause of subacute arthritis. Knowledge about Parvimonas micra is important, as it is difficult to culture in the laboratory and generates a synovial fluid with atypical characteristics for septic arthritis so that, if not suspected, its diagnosis can be easily overlooked and underdiagnosed. We present the case of a 76-year-old woman with subacute arthritis of the left knee, describe the difficult diagnosis and treatment of its unexpected cause (Parvimonas micra), and review previously described cases, identifying the possible common comorbidities that may help clinicians easily find and treat this cause of subacute septic arthritis.
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页数:7
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