Polymicrobial septic arthritis due to Clostridium species: case report and review.
Clostridium species are capable of producing several types of infectious processes, many of which have proven to be life-threatening. Septic arthritis caused by Clostridium, however, is not a very frequent finding. Currently, only 37 cases of infectious arthritis due to Clostridium species have been reported. We report a case of septic arthritis in which Clostridium perfringens, Clostridium sordellii, and Clostridium tertium were each isolated from the synovial aspirate. In addition, the 37 previously reported cases are summarized to compare the similarities and differences of the clinical course, treatment, and outcome, in order to help establish guidelines for the proper management of this infectious process.
Gredlein
C M
CM
Division of Podiatric Surgery, Presbyterian Medical Center of the University of Pennsylvania Health System, Philadelphia, PA 19104-2699, USA. cgredlein@aol.com
Silverman
M L
ML
Downey
M S
MS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001170:Arthritis, Infectious / Q000382:microbiology*; D003013:Clostridium / Q000145:classification / Q000302:isolation & purification*; D003015:Clostridium Infections / Q000382:microbiology*; D005260:Female; D006801:Humans; D008297:Male; D013582:Synovial Fluid / Q000382:microbiology*