Septic arthritis of the knee by Salmonella montevideo.
We describe a case of salmonella septic arthritis of the knee in a middle-aged woman with the following predisposing conditions: long-term corticosteroids and microscopic collagenous colitis. The patient presented with enteritis caused by the same strain 3 months before the arthritis. The first series of cultures were negative and the possibility of a chronic carriage of the disease was not suspected initially. The patient was treated with antibiotics and arthroscopic washouts; the corticosteroid treatment was maintained. There was a progressive clinical and microbiological improvement and the patient was discharged 3 weeks later. Salmonella montevideo is a rare form of salmonella and is known to be associated with tropical fishes, reptiles and imported species.
Katsoulis
Efstathios
E
Department of Surgery, Hull and East Yorkshire Hospitals NHS Trust, Hull UK. stathiskatsoulas@hotmail.com
Pallett
Ann
A
Bowyer
Gavin W
GW
D001170:Arthritis, Infectious / Q000188:drug therapy* / Q000209:etiology; D004751:Enteritis / Q000382:microbiology; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007719:Knee Joint; D008875:Middle Aged; D012480:Salmonella Infections / Q000188:drug therapy*