Τίτλος:
Morganella morganii: An unusual case-report of shoulder septic arthritis
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Morganella morganii is a gram-negative, anaerobic, facultative bacillus that is part of the natural flora of the gastrointestinal system. In the rare event of joint effusion, it is known for its slow-paced progression of symptoms and occasional attacks and remissions leading to septic arthritis, and it is difficult to recognize and to address with a timely response. We present a case of a 95-year-old male hospitalized due to left shoulder septic arthritis. The symptoms commenced as simple discomfort in the joint, and 10 days later this was followed with pain and dysfunction, diffusion, and mild fever. Blood and pus cultures were obtained on the day of admission; arthroscopic debridement was performed the next morning; and wide-spectrum antibiotic treatment was initiated. Both blood and pus cultures isolated Morganella morganii, and the antibiotic regimen was adjusted to the antibiogram. Clinical and laboratory scores demonstrated signs of improvement, and the patient recovered within 3 months. © 2019 by Begell House, Inc.
Συγγραφείς:
Tsiotsias, A.
Maris, S.
Apostolopoulos, A.P.
Salmas, M.
Karadimas, E.J.
Balfousias, T.
Filippou, D.K.
Nikolaou, A.
Angelis, S.
Περιοδικό:
Journal of Long-Term Effects of Medical Implants
Εκδότης:
Begell House, Inc
Λέξεις-κλειδιά:
Antibiotics; Bacteriology; Blood, Antibiotic treatment; Case reports; Debridement; Gastrointestinal systems; Joint effusion; Wide spectrum, Diseases, antibiotic agent; C reactive protein; ceftriaxone; hemoglobin; nonsteroid antiinflammatory agent; piperacillin; tazobactam; vancomycin, aged; antibiotic sensitivity; antibiotic therapy; arthralgia; arthrocentesis; arthroscopic debridement; Article; aspiration; bacterial arthritis; bacterium colony; case report; clinical article; erythema; erythrocyte sedimentation rate; Escherichia coli; fever; gastrointestinal tract; hematocrit; human; inflammation; joint effusion; leukocyte count; male; Morganella morganii; pain assessment; polymorphonuclear cell; pus; scoring system; swelling; urinary tract infection; very elderly
DOI:
10.1615/JLongTermEffMedImplants.2020034098
