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KMID : 1144320120440040303
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감염과 화학요법
2012 Volume.44 No. 4 p.303 ~ p.306
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A Case of Septic Arthritis of the Knee Joint due to Group D Non-typhoidal Salmonella
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Lee Su-Hyun
Lee Ha-Ni
Yang Hae-Kyung
Kang Ju-Hyun
Kim Na-Young
Sin Yun-Mi
Lee Sang-Rok
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Abstract
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Osteoarticular infections due to non-typhoidal Salmonella are rare, occurring with an incidence rate of 0.1-0.2%. An immunocompromised state and the existence of sickle cell anemia are known risk factors for development of septic arthritis due to Salmonella.
In this report, we describe a patient with septic arthritis of the left knee caused by non-typhoidal Salmonella . An 82-year-old woman visited the emergency room presenting with left knee pain, fever and dyspnea. The patient had osteoarthritis and was treated with oral analgesics, but not with an intra-articular injection. Upon assessment of the patient’s joint fluid and blood culture results, non-typhoidal Salmonella (Salmonella group D) was detected. Arthroscopy-guided irrigation and debridement, and administration of oral antibiotics (fluoroquinolone) over six weeks were required in order to achieve a full recovery from the infection.
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KEYWORD
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Salmonella infection, Arthritis infectious, Bacteremia
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