AI Article Synopsis
- Acute hematogenous septic arthritis from Klebsiella pneumoniae is very rare, and this case is notable as it involves a prosthetic joint infection.
- The case also highlights a unique scenario where the infection coexisted with an undiagnosed colon cancer, marking it as the first of its kind reported.
- Treatment involved surgery and antibiotics, and both the infection and the underlying cancer were successfully managed, emphasizing the need for vigilance in identifying hidden health issues in similar cases.
Article Abstract
Acute hematogenous septic arthritis caused by the genus Klebsiella is extremely rare. This case report describes a prosthetic joint infected with Klebsiella pneumoniae via acute hematogenous spread. This is the first reported case of K pneumoniae pyogenic arthritis with a coexisting occult colonic adenocarcinoma. The patient was treated successfully with open irrigation, debridement, polyethylene spacer exchange, and chronic suppressive antibiotics. The underlying colon cancer was recognized early, and the patient responded well to surgery and adjuvant chemotherapy. This case illustrates the importance of having a high index of suspicion for underlying pathologic processes when an unusual organism presents as the cause of septic arthritis.
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| http://dx.doi.org/10.1016/j.arth.2007.12.018 | DOI Listing |
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