Brucella arthritis of the knee, 1 year after revision of anterior cruciate ligament reconstruction.
Brucellosis is a zoonotic infection with a broad spectrum of clinical manifestations. The authors report the first case in the literature of septic arthritis of the knee 1 year after revision of anterior cruciate ligament reconstruction. Brucella melitensis biotype 3 was found in both synovial fluid and blood cultures. The patient was treated initially with arthroscopic debridement. After the diagnosis was confirmed, a second arthroscopic lavage and metal work removal was applied leaving the graft in place. Antimicrobial chemotherapy was prescribed for 3 months. The infection was fully eradicated and the patient is still asymptomatic, 4 years after the treatment.
Department of Orthopaedics, Agios Pavlos General Hospital, Thessaloniki, Greece.
S G
SG
Papastergiou
N E
NE
Koukoulias
P
P
Koumis
D
D
Kyparlis
R
R
Santas
D000328:Adult; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects*; D001170:Arthritis, Infectious / Q000209:etiology* / Q000382:microbiology; D017347:Brucella melitensis; D002006:Brucellosis / Q000209:etiology*; D006801:Humans; D007719:Knee Joint; D008297:Male; D012086:Reoperation / Q000009:adverse effects; D013997:Time Factors