Septic arthritis due to Legionella cincinnatiensis: case report and review of the literature

被引:8
|
作者
Banderet, Florian [1 ,2 ]
Blaich, Annette [3 ]
Soleman, Evelin [4 ]
Gaia, Valeria [5 ]
Osthoff, Michael [1 ,2 ,6 ]
机构
[1] Univ Hosp Basel, Div Infect Dis, Petersgraben 4, CH-4031 Basel, Switzerland
[2] Univ Basel Hosp, Hosp Epidemiol, Petersgraben 4, CH-4031 Basel, Switzerland
[3] Univ Basel Hosp, Div Clin Microbiol, Basel, Switzerland
[4] Univ Hosp Basel, Dept Plast Reconstruct Aesthet & Hand Surg, Basel, Switzerland
[5] Ente Osped Cantonale, Serv Microbiol EOLAB, Swiss Natl Reference Ctr Legionella, Bellinzona, Switzerland
[6] Univ Hosp Basel, Dept Clin Res, Basel, Switzerland
关键词
Septic arthritis; Legionella cincinnatiensis; Polymerase-chain reaction; PNEUMOPHILA ARTHRITIS; INFECTION; PULMONARY; CULTURE; PATIENT; TISSUE;
D O I
10.1007/s15010-016-0964-1
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Legionella spp. are an important cause of pulmonary and rarely extrapulmonary infections. L. cincinnatiensis has only been implicated in five cases to date. We herein report the first case of L. cincinnatiensis septic arthritis in a 90-year old lady with a past medical history of chronic kidney disease. She developed septic arthritis of her left wrist after having received intraarticular corticosteroid injections and oral corticosteroids administered for presumed chon-drocalcinosis. Appropriate antimicrobial treatment of L. cincinnatiensis septic arthritis was delayed until identification of this organism in joint biopsies by broad-range bacterial PCR targeting the 16S rRNA gene with subsequent rDNA sequence analysis and by culture on special media. Reviewing all reported cases of septic arthritis caused by Legionella spp. other than L. cincinnatiensis it is notable that diagnosis was established by PCR in the majority of cases and only subsequently confirmed by special culture. Although most patients were immunosuppressed, outcome was favourable. Treatment consisted of a fluoroquinolone alone or in combination with rifampicin or a macrolide. Our case highlights the need for a high index of suspicion for infections with unusual/fastidious organisms when symptoms are suggestive of septic arthritis but conventional methods fail to identify a causative organism.
引用
收藏
页码:551 / 555
页数:5
相关论文
共 50 条
  • [1] Septic arthritis due to Legionella cincinnatiensis: case report and review of the literature
    Florian Banderet
    Annette Blaich
    Evelin Soleman
    Valeria Gaia
    Michael Osthoff
    [J]. Infection, 2017, 45 : 551 - 555
  • [2] Septic arthritis due to Nocardia: Case report and literature review
    Fazili, Tasaduq
    Bansal, Ekta
    Garner, Dorothy
    Bajwa, Vijender
    Vasudeva, Shikha
    [J]. AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2022, 364 (01): : 88 - 91
  • [3] Septic arthritis due to Aeromonas hydrophila:: case report and review of the literature
    Elwitigala, JP
    Higgs, DS
    Namnyak, S
    White, JW
    Yaneza, A
    [J]. INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2005, 59 : 121 - 124
  • [4] SEPTIC ARTHRITIS DUE TO NOCARDIA-ASTEROIDES - REPORT OF A CASE WITH A REVIEW OF THE LITERATURE
    CROUZET, J
    JUAN, LH
    POTY, F
    [J]. REVUE DU RHUMATISME, 1994, 61 (11): : 771 - 772
  • [5] SEPTIC ARTHRITIS DUE TO MYCOPLASMA HOMINIS - CASE-REPORT AND REVIEW OF LITERATURE
    VERINDER, DGR
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1978, 60 (02): : 224 - 224
  • [6] SEPTIC ARTHRITIS DUE TO KINGELLA (MORAXELLA) KINGII - CASE-REPORT AND REVIEW OF THE LITERATURE
    VINCENT, J
    PODEWELL, C
    FRANKLIN, GW
    KORN, JH
    [J]. JOURNAL OF RHEUMATOLOGY, 1981, 8 (03) : 501 - 503
  • [7] SEPTIC ARTHRITIS AND BACTEREMIA DUE TO VIBRIO FETUS - REPORT OF AN UNUSUAL CASE AND REVIEW OF LITERATURE
    KILO, C
    HAGEMANN, PO
    MARZI, J
    [J]. AMERICAN JOURNAL OF MEDICINE, 1965, 38 (06): : 962 - &
  • [8] Case report of arthritis caused by Legionella anisa and review of the literature
    M. Roussotte
    E. Massy
    [J]. BMC Infectious Diseases, 22
  • [9] Case report of arthritis caused by Legionella anisa and review of the literature
    Roussotte, M.
    Massy, E.
    [J]. BMC INFECTIOUS DISEASES, 2022, 22 (01)
  • [10] Pneumonia due to Legionella feeleii: case report and review of the literature
    Lee, J.
    Caplivski, D.
    Wu, M.
    Huprikar, S.
    [J]. TRANSPLANT INFECTIOUS DISEASE, 2009, 11 (04) : 337 - 340