[Purulent gonarthritis resulting from H1N1 viral pneumonia].
No articles on orthopedic complications of pneumonia due to influenza A H1N1 virus have yet been published. A 44-year-old male patient was hospitalized due to the suspicion of an infected knee. During arthroscopy beta-hemolytic Streptococcus group A and Acinetobacter were found and the histopathological diagnosis of an infectious bacterial synovialitis was made. Despite resistance-oriented antibiotic treatment the patient's general condition worsened. Influenza A H1N1 virus was detected in a nasal sample and was successfully treated with Tamiflu®. If fever and elevated infection markers persist a search for the focus has to be performed including unlikely diseases such as influenza A H1N1 virus.
Klinik für Rheumaorthopädie, St. Josef Stift Sendenhorst, Sendenhorst, Deutschland. ulrich_illgner@web.de
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D000151:Acinetobacter Infections / Q000175:diagnosis*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis*; D001182:Arthroscopy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications* / Q000188:drug therapy; D008297:Male; D053139:Oseltamivir / Q000627:therapeutic use; D020370:Osteoarthritis, Knee / Q000175:diagnosis*; D011024:Pneumonia, Viral / Q000150:complications* / Q000188:drug therapy; D013290:Streptococcal Infections / Q000175:diagnosis*; D013297:Streptococcus pyogenes; D013585:Synovitis / Q000175:diagnosis*
D000900:Anti-Bacterial Agents; D000998:Antiviral Agents; D053139:Oseltamivir